Hirono conveniently forgets a lot.  

1. Hawaii's Prepaid Health Act, that use to cover nearly 80% of Hawaii's workers and their families, has been severely and adversely impacted by Obamacare.  ACA mandates that should never have affected the HPHA have driven up costs to the point where workers are losing coverage, jobs and hours because employers cannot afford the double digit increases each year for the last five years.  Part time jobs now the norm.

2. The ACA is not healthcare, it is a new taxation system to provide expanded benefits of a social welfare program, in essence a massive expansion of Medicaid.  Not only did the Democrats raid Medicare, they created new taxes to pay for this new program. The taxes are the 40% Cadillac Tax on union workers overly generous benefits, an Excise Tax on Medical Devices (driving up the costs for medical services), an Income Tax on investments of people saving for retirement and college educations, and a couple of other sneaky little taxes..