I don't particularly follow the news on this subject that closely, and I certainly don't align with either major party.
What I do follow are my finances, and the fact that when I went back to school in 2011, just after this was passed, I could afford insurance. Even though the coverage wasn't the best, my employer also kicked $100 a month into a health savings account to handle the high deductible. This was actually a very effective system, as it also allowed him to help out with routine dental and vision without providing specific coverage. Now, I've got my degree, a better paying job, and the costs have risen to where I cannot find affordable insurance. I'm better off paying out of pocket and paying the penalty.
Affordable Care Act my arse.