Dope1,

ACA was designed to fail but was budgeted/structured in such a way that the 10 year projection of costs would pass muster with the CBO. The plan was designed so costs would explode after about 10 years but by then ACA would be so interwoven into the health care and health insurance system that the transition to a single-payer plan would be more or less inevitable.

That seems to be what is happening right now, since we are just past 10 years since ACA started in 2014.

The plan is chock full of crazy counterproductive incentives. AdrianC gives a great example--he is hugely incentivized to lower his business productivity to remain within the 400% FPL "cliff" so as to be able to receive subsidies.

There are others but this one is obvious.

"We punish you for being too productive."

That isn't good for anyone. Multiply by millions of people and you get what you get.