The ACA program is nice to have if you are poor.  This program increased the cost of medical insurance to the rest of the people.  ACA added 12 million Americans to Medicaid bringing the total on Medicaid to 74.1 million Americans.  This is 22.8% of the population.  People on Medicaid don't have deductibles or copays like the rest of the population.  I find it interesting that only 42.3 million Americans live in poverty.  This is 13% of the population, but we need to provide medical coverage to 31.8 million Americans through taxpayer dollars.  We still have 31.1 million Americans uninsured. This is 9.6% of the population.  I bet most of the people in the United States don't realize that in the 1940's very few people had any medical insurance.  We also have permitted our elected officials to create a medical cost crisis for the country as medical services is now 17% of the GDP.  Not sustainable.