Today is perhaps the best day of my life as an American.

[Half-Century Man]

72. I see the ACA as just a step to Universal Health Care.

If all the money spent on health care was, instead, a tax to fund a governmental service.
If we traded expensive corporate bureaucrats for more cost effective governmental bureaucrats.
If we no longer spent 20% of costs on administration, but rather 11% (through the use of working supervision ie, medical workers who spent part of their daily routines doing admin work).
If we as the single legal customer in the United States for big Pharma.
If we consolidated all computerized medical information to the same operating system.
And did this for Medical, Psychological, Dental, and Vision.

We would save a tremendous amount of money, improve health care to best in the world, provide stable well paying careers for maybe a million people, profoundly reduce personal stresses and the sociological results of stress overloading (ie, school/work place shootings), and nearly emanate medical quackery.