The ACA is no panacea but it's been an improvement in my case. I hesitate to say much more since this is somewhat political but I hope the ACA is just the prelude to a single payer system to come. As it is it's a love letter to the insurance industry. There are some great things, such as the requirement that 85% of premiums actually go to care and the ban on barring companies from refusing coverage for preexisting conditions.