Trump and the Republicans are embarking on a campaign to transfer wealth, power, health care, and resources TO the filthy rich FROM just about everybody else. Everyone expects them to inflict the most harm on the poor, and they will; but they are also going to harm, to one degree or another, everybody below the top 1 or 2%. This may make a difference in how people understand what has happened in our country; whether, when or how they can do anything about it remains to be seen.
It turns out that repealing the ACA is not the first thing on the Republican agenda. The first thing is shutting down the Office of Congressional Ethics, a move they made under the cover of darkness. Led by the most corrupt president in history, they are not even going to pretend that they intend to be governed by ethical concerns. 
As for the ACA: every time a Republican repeated the mantra, "Repeal and Replace", s/he was lying. There is no plan to replace it. There never was. Most never intended to replace it.