The crazy thing is that the ACA actually is bad -- it's Romneycare, a giveaway to the private health insurance industry thought up by a conservative think tank -- but the Democrats get to take the blame for it being actually bad, and Republicans get to point at it being actually bad even though any changes they would make are actually worse. It was an act of long-term political suicide by the Democrats under the Obama administration, which they doubled down on by ratfucking Bernie twice.