This odd belief system that the republicans are responsible for the ACA clusterfuck.

[bluestate10]

188. The ACA was the ONLY POSSIBLE option at this time in the nation's history.

Once the benefits of the ACA are clear, the public at large will be more willing to move on to better options like universal coverage. I like the idea of like minded states clustering under the ACA to set up regional exchanges that offer high level, affordable coverage for citizens in those states. State like the New England states and west coast states like California, Oregon and Washington would benefit mightily from setting up regional exchanges. Having a good shell to work from beats having nothing at all. Nothing at all was what the far Left was getting by insisting on "pure" health care reform when large swaths of the populace at large were not onboard with that change. Democratic leaders got it right, their detractors are still lost with no way of getting back to a realistic mindset.