The ACA was a huge compromise and didn’t really do anything to tackle why American healthcare costs are so high. I can see it being washed away for a plan that is actually better, and that isn’t going back to the way things were before it.
- the individual mandate - % required spending on actual Medicare care by health insurers (limiting administrative and marketing expenses)
But each of those elements were later removed either legislatively or judicially.
That part stayed in. Note that this actually isn't relevant for most people get their insurance through an employer who self funds their plan.
https://www.cms.gov/marketplace/private-health-insurance/med...
Looking at today’s administration I can’t see this happening at all. The most likely outcome from this government is to wash it away and bring back all the problems from before without improving anything.