>I agree that there's room for improvement, but history says it's not getting improved because the Republicans won't do so. Traditionally, this kind of program gets improved by Congressional vote as the flaws are exposed, but the majority in the current Congress won't do that; they'll only vote to overturn or defund it.
>

It's interesting that you think the onus is on the Rs to address this.

At different times smaller suggestions (selling plans across states, expanding HSAs) have been proposed by different Rs.

And by the way, it took the Republicans taking over Congress to finally get a moratorium on the extremely unpopular medical device tax. Obama signed the bill because he had no choice (it was part of the Consolidated Appropriations Act). But when the Dems ran the Senate, they had little interest in this. So sorry Tamar, but history says something quite different.

Barack Obama has not offered one significant suggestion for Congress to take up, and quite frankly has not demonstrated any interest in listening to alternate viewpoints. He got his signature legislation passed and he doesn't seem interesting in anything else. He owned ACA from day one, lied to the American people about it, and has shown no motivation to admitting the problems and even less to fixing it.

The only major actions that the administration has taken post-ACA have been to push back the employer mandate (largely for political reasons) and the arguably unconstitutional contraception mandate.

In recent times, I've advocated fixing the law instead of scrapping it - only because the law has been in place for a few years and I assumed that scrapping it entirely would be chaotic.

But I've changed my position, now that I've seen the stats on how much the new enrollment has been through the cesspool of Medicaid expansion. ACA should be scrapped and replaced with specific targeted legislation.