I wish “they” would fix the problems with ACA. It is a disaster in many ways. Sure, I have insurance from the marketplace, so I’m in the stat of people signed up, but my deductible is $15k! So, I pay for every little thing I have done, because thank goodness I don’t need more than $15k of care (knock wood). I do spend a few thousand on doctors, tests, and medicine during the year though. The deductible is outrageous, and BCBS is making a shit ton of profit. I’m getting a subsidy so far this year, so you tax payers are paying for BCBS to make their gigantic profit, but if I make too much money I’ll have to pay it all. Right now I’m trying to figure out a way to avoid paying it for 2018, because I made a little too much money. Barely any point in me working.
Trump just wants to throw healthcare out to the wolves. He wants to believe competition will cure the problems, but it won’t. We know it won’t, because healthcare was already not functioning well before ACA.
Everyone who says ACA is great isn’t using the ACA marketplace in my experience. If you haven’t studied up on how it works and what is offered you have no idea about the pitfalls, and how wealthy people can use it and still get the subsidy. Maybe some states are better than others.
Medicare and Medicaid take care of the poor and the elderly. ACA marketplace is for the middle class, mostly the middle class who don’t work full time at a job that provides health insurance. They might be self employed or work for a small employer. I also know a lot of spouses, usually women, who use the marketplace if their husband who is older is retired, and the wife doesn’t have steady work, or doesn’t work at all since their husband retired.