As for the ACA, yeah it sucks as a HC program but not one HC insurer would have it any other way as it was a boon to their bottom line.
What is "private HC" with its costs and discrimination of those who haven't financial resources to cover catastrophic illnesses is far worse than
what the ACA is - also, the ACA as it is, is a product of obstinate Republican jargon and baloney, Corporate HC interference and just plain national stupidity.
The surprise in the ACA is that it is still far better than "private HC" as far as costs and benefits.