......strapping the working class with high insurance rates...... operative word here is 'insurance rates.'  You are still paying the insurance companies and they are raping the people, as usual.   Insurance companies are the ones raising your damn rates, not the ACA.  When we get the insurance companies out of the business of health care, we will all be healthier.  Yes, there will always be those who can't afford to buy health insurance; there have always been.  They are not meant to be thrown away for being poor.  If we can't, as a country, take care of the neediest among us, we don't deserve to continue to call ourselves the greatest country in the world.  One payer health care will take care of getting rid of the insurance gangsters once and for all.