Definitely agree with your last line. The ACA had too many politicians involved. I agree with all stated regarding big Pharma. My concern was the smaller medical device companies that do not have a lobby. The tax on medical devices was based on GROSS sales, not net profits. It was an irrational and destructive tax causing the loss of many jobs, plus the expenses would be passed on regardless. The loss of business however, would translate as less sales and less income tax to the feds. I would like to know the motive of whoever thought up the ill-advised tax. It is interesting to note that 79 of 100 Senators were in favor of repealing the tax prior to the midterm elections. Now I wonder where all the Dems who were opposed to the tax. It's very convenient to oppose something right before an election. Overall, it's a very complex issue and I believe the answer is to keep it simple, not 2700 pages like the ACA. I just wish the current Republican leadership in Congress were much stronger.