Actually I'm a centerist, more Libertarian than D or R. I also try to be a realist. As an engineer, my career was shaped by hard facts, not feelings. Truth is that we have limited resources. Oh, we're not going to run out of them next week, probably not in the next century. But as our population increases, so does the rate that we consume resources, the rate that we foul our nest. One of the reasons for our exponential population growth is that we strive to eliminate threats to our existence, destroying predators, curing disease, and trying to control natural disasters. If we stand back and let nature take its course, people will die.  As the weak & unfit die off, our race becomes stronger, better able to cope with the realities of life. It's Nature's way. 

BTW: The ACA had little to do with healthcare. It mandated no changes in the trajectory of costs or quality. The ACA was about INSURANCE and taxes.  And so were both of the GOP fix-it plans.