Virtually ALL of the problems with the ACA can be traced back to 3 sources, that the Republicans gutted the original plan drawn up,  that the insurance companies by virtue of what they are put profits FIRST before people, and the vastly over inflated cost of drugs and many aspects of the health care system, in part because of too much bureaucracy and by monopolistic control by patent drug companies, the AMA and other industry.  I can't believe how people think the ACA responsible for their rates when bottom line the raises in cost $$ are by the insurance companies.  45 is NOT friend of the people, nor are the Repubs in his camp.  They'll provide a system where the corporate world gets the pie and the average citizen gets scraps.  Under the current system some claim to be paying more, however I've met many more people who report to be paying less and getting better coverage.  Then there are the people who previously had no coverage who have benefited.....how many millions?