The ACA is flawed and not sustainable in the long term. However, it is an improvement on what preceded it, which says more about that system than the ACA itself, and it is far better than the Republicans’ pathetic plan. They really have no argument at all. Just a reality less ideology and greed. You could analyze the ACA in isolation and say, gosh, health care costs have far outpaced wage growth. That would be true, that is why it in its present form isn’t sustainable and why single payer is the only long term option. However, health care costs were rising at a far quicker rate prior to the ACA, and they would increase far more with their pathetic plan. They have no plans as far as how to lessen the waste in the system, in fact their “choice” mantra actually increases waste. How much of an administrative apparatus has to be created just to manage all that choice, all those companies offering all their plans. A single payer system gets rid of that problem, since there is one payer, one plan. It simplifies the system, requires less people pushing paper, less of a financial apparatus to manage the overly complex system. That is why waste in Medicare is about 6%, while in private health insurance it was (according to some studies) as much as half of all money spent prior to the ACA. Money didn’t go to care but huge executive pay, marketing costs, lobbying costs, administrative waste, profits, etc. Again, they have no solutions, no argument. I don’t trust the Democrats to do much, the people are leading the fight. The pathetic Democrats will have to be led and will just follow us fighting these bastards.