In an ideal world, preventative care catches conditions before they cost six figures to treat and send one into bankruptcy. In the real world, a lot of people cannot afford this.
In an ideal world, doctors prescribe appropriate tests. In the real world, our litigious society almost forces MDs to prescribe the kitchen sink.
In an ideal world, Republicans and Democrats would have crafted the ACA together. In the real world, this didn't happen.
I can't help but think about the kerfuffle over Medicare Part D, aka Prescription Drug Coverage. The world was going to end then, according to certain pundits. As far as I can tell, it's still here.
Bottom line: let's give the ACA a chance to work before chucking it out.