and think it's ridiculous that we're one of a dwindling number of civilized countries without it but shifting from a completely private system to public system overnight is probably not feasible and likely to cause a lot of disruption for a lot of people in the process. Plus, absent some major catastrophe and/or overwhelming demand, most people do not usually accept radical changes easily. It will probably have to end up being gradually implemented state-by-state (using ACA's waivers) before national implementation. However, while we're waiting for some segments of society to grow up, at least ACA will help make things better for more people. As far as the mandate is concerned, my understanding is that, however distateful it might be, a mandate is necessary in order for the other elements of the law to work how they should. Frankly, I don't see what the big deal about the mandate is anyway since most people already have some private health insurance that they are already paying for and would basically be unaffected by it. Frankly, I grew up with the notion that having some form of health insurance was the responsible thing to do. 
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