I am sure Colbert has thoroughly researched the Affordable Care Act and current efforts to address issues it has posed.

I am sure he understands that health care costs under ACA were skyrocketing much faster than inflation (contrary to claims when it was passed).

I am sure he knows that the exchanges themselves were collapsing:
 http://dailysignal.com/2016/06/01/obamacares-13th-co-op-is-closing-why-more-could-follow/

I am sure he knew that many people couldn't afford ACA insurance anyway, and many that could still didn't get adequate healthcare.

Yet he rambles on like a feckless ideolgue.  Or maybe he didn't know, in which case he is a feckless imbecile.