The ACA, aka ObamaCare, has been lauded by some for its success in insuring more than 26 million Americans who previously had none – most of whom are low income. The act additionally allows those with pre-existing conditions to acquire insurance, and equalizes the price of insurance for men and women.

On the negative side, it turns out that the newly insured are far sicker than anyone imagined. Without the participation of healthy young people, the system is struggling with higher than expected costs and lower than expected revenue. This imbalance has caused rates to rise, markedly.

Those who want to repeal the ACA, say the rate increases are stinging the less subsidized middle class and businesses with more than 50 full-time workers that are now required to provide insurance.

Those who want to fix it say healthcare is a human right, like food and clean water. They propose much higher penalties for those that don’t purchase a health plan to incent healthy, young adults to participate.

The first 100 days of the Trump administration will be very busy indeed.