the aca is a fundamentally conservative market based plan that was cooked up by conservatives as an alternative to single payer. “better” than before sure but that is a low bar. still woefully inadequate.

But when you look at the large number of Blue Dog Dems needed to pass it you can appreciate how amazing it is we even got something as good as the ACA.

build on what works and is popular! expand and improve medicare to cover everyone!