The aca improved the quality of life of the average American. The aca slowed down the rapidly increasing premiums insurance companies were rolling out. The aca prevented those insurance companies from denying or gouging for preexisting conditions or removing people from insurance for developing chronic conditions. The aca was a mess and far from perfect but it absolutely was a significant improvement to the status quo and a net benefit to every citizen. And always remember that it wasn’t better due to the policy of republican obstructionism. Don’t be a fuckin idiot.