My position is that you should at least address the actual problem, and do so in honest terms.
The actual problem was, is and shall be supply: we've quadrupled the size of North Carolina since the last med school opened. We need to rebalance supply and demand. I've posted no less than five times that we need to build more medical schools, with attached clinics where graduates get heavily subsidized tuition in exchange for their commitment to either repay or pay through service commitment as primary care providers for uninsured people for baseline and retail level care: well baby checks, annual physicals, ER-type vists, screenings, etc. Ask people to cover their own catastrophic care by something similar to the negative, individual mandate (not that the positive individual mandate isn't a great idea; it is a bold step in conservative economic theory) that people can actually afford, and make everybody pay; and I mean really make them pay, by refusing to do it for them when they can (and if you limit it to catastrophic care, people WILL pay premiums for that). Finally, I'd rather have working families paying for their own medical care through Medicare withholdings than that of rich, retired people (where a lot of the wealth is already concentrated) who've put in seven good decades. they've had a good run, but those dollars are better spent on prenatal care for the unborn child trying to develop inside an expecting mother in a working family (keyword: working; cf. entitlement-stricken). But back to what's wrong with the current plan: does ACA touch on the supply/demand problem? Actually in fairness, I'll give you that it does: it increases demand by insuring people who don't currently have care (with magic, its-from-the-government-its-free-monies) and sending them into the system on someone else's dime. It feels great in our hearts, will be poorly implemented, and is not sustainable: it's the perfect government plan. All it's going to do is aggravate the current problems, and eventually providers are going to start going underground. How many people do you know who already get concierge care? The market always walks away from the folly of collectivism: ask Detroit. Is what is actually wrong too many doctors sitting listlessly around b/c patients don't have insurance? Why not fix what's actually wrong?
The honest terms tell anyone who is paying attention that the individual mandate ain't going to cover the hand-out portion of Obamacare. Nancy Pelosi was ready to vote for it the minute she heard its name was Obamacare; what could go wrong, amirite? Bob, for all of the elbows we've traded over the years, you know that I respect your candor: honestly, do you think there is a chance in hell that the ACA is going to do anything other than raise costs on people that pay into the system? If not, can you please tell me how? I think the American people (at least the majority who oppose it) don't trust the "But it will bring costs down" canard. If it actually would, why didn't O/B roll up the House in 2012? Instead, people actually re-elected the Boeher majority. Why?