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It's undeniable that it did help people. I'm never going to object to that fact. The reason I don't think it's good is because it didn't do much for the poorest people in the country, the people the bill was meant to help
It was also meant to help people with "pre-existing conditions." Which it has, immensely. Prior to ACA one could not leave, or it was prohibitively expensive to leave the health insurer one had when first diagnosed with a chronic condition, and therefore could also be unable to leave an employer if said employer provided health insurance. Further, one could hit a payment cap and then be uninsurable, and if a payment was missed one would get dropped and then became uninsurable. I'm guessing millions if not tens of millions now have insurance who otherwise would not. Plans are subsidized based on income which is helpful.
And I'm not disagreeing with you. I will however point out there is Medicaid for the poorest.
… and some of the most needy who were missed, were a few Republican states refusing money to expand their Medicaid programs