Political discussion in a vibrant, healthy democracy will include anger at politicians,

[mythology]

19. I disagree with you

He didn't say that the ACA could be better. He called the president a piece of shit. Granted I generally have a problem with referring to anybody like that, but that's more about how crass it comes across, and in my experience being that angry often makes one less than capable of being even remotely objective.

But even if the idea was that the ACA isn't perfect, it still doesn't address the formulary issue which is present even in countries that have single payer. It's a fundamental problem of having the best allocation of resources based on what amount of money is being spent. Some people are always going to be missed. But if we throw everything at every problem, we'd not simply run out of money, we'd also increase the speed at which we develop antibiotic resistance viruses and bacteria.