The ACA would of been good with the mandatory Medicaid expansion, but the Supreme Court shot that down. Also if it had a public option it would of been in a much better position. At this point we need something much more aggressive than the ACA. I don’t think we will be able to fully pass M4A at once. The votes in the senate is just not there. However we need to start at the strongest position so we can get the best deal possible.ACA had good things but it didn't control costs and it made insurance companies richer/bigger... nothing done on drug prices and gouging either... and of course no public option
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