I argue that the ACA was never INTENDED to be the solution.
It was a clumsy compromise between free market principles and universal health insurance.
But it had to be that way to take the first step towards the goal that's been put forth by presidents from Truman to Nixon to Clinton to Obama and now trump/mcconnell/ryan. 
Which plan covers the most people, most effectively?
Which plans enriches the wealthy at the expense of everyone else?
We're not home yet.