For most people-- the 49% of Americans who get discounted group plans from their employer, plus those who get individual plans on the exchanges that are working, are happy with their plans (not even the Republicans tinkered with this in the end-- businesses and consumers were lobbying for policies and for the tax breaks for employers and employees with the group employer plans). Add to that the people who were happy with Medicaid and the Medicaid expansion and add the Republican and Democratic Governors and legislators who want to retain Medicaid. That means the exchanges (which impact only 17% of Americans) need fixing and the law overall needs fine tuning. There are good ideas for the fix: insurance companies have made statements through their leaders and through material distributed to shareholders on fixing the exchanges and so have doctors and the AMA (disappointed in no attention paid to fixing the exchanges has opposed all of the GOP drafts).