The question, to me, is: If, in the meantime, he is successful in gutting the ACA either through legislation or the courts, what are the American people supposed to do until then? If the ACA is declared unconstitutional by the Supreme Court because Congress repealed the individual mandate portion of the act, all those with pre-exisiting conditions will again be thrown to the wolves, so to speak, and those who can't afford regular commercial health insurance will again be forced to do without. There's no argument, the ACA is flawed, but it is a base from which to work on something better. As I've stated before, I find it curious that the Republicans seem to forget that the ACA was based on the plan initiated by then Gov. Mitt Romney in Massachusetts, a Republican who now serves in the Senate.