there are 20 million getting insurance through the exchanges; when the ACA goes away, the exchanges go away. Unless....(se below)

While it is true that the ACA has not reduced the deficit, that was not quite a goal - the goal was to reduce the rate of government spending on health care for the uninsured, and the effects of the same on insurance rates, while of course trying to get affordable insurance for everyone. If the ACA goes away that problem returns. Unless...(see below)

His comments about rates of increase in insurance premiums pre and after ACA are not accurate, but this is as close as he comes. The problem is we're not getting enough of the young and healthy population buying insurance. the penalty tax is not high enough, or we need a more forced solution. Until we do the risk pool is skewed too high. Which pushes up rates for everyone, which makes any required government support more expensive. But we had the same problem before, we just had fewer high risk people in the pool. Getting rid of the ACA will do little to nothing to address these dynamics. Unless...(see below)

As for pre-existing conditions, pre ACA millions upon millions of people could not get affordable health insurance because of pre-existing conditions. Two key words there, pre-existing and AFFORDABLE. Without the ACA affordable insurance for such people - and it is still millions upon millions even without the group and government insured population - they won't be able to afford insurance. Unless...(see below)

When the public votes on the key deliverables of the ACA, affordable insurance for everyone regardless of pre-existing conditions, it overwhelmingly supports it. While I think the right solution is universal limited health care access paid for via taxes coupled with privately purchased supplemental coverage options, the ACA is the ONLY plan yet to address those citizen demands. Unless...

But don't worry, the author assures us "In any case, Republicans plan a transition away from ObamaCare to reforms that will make insurance more competitive and more affordable, along with rules that will encourage young people to buy and maintain coverage." Well hallefuckinglujah.