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There’s a reason that, after 15 years freaking out about it, Republicans still have no plan for replacing it. Virtually any change, outside of more socialization, will make health outcomes worse.
Senate: https://www.govtrack.us/congress/votes/111-2009/s396
House: https://www.govtrack.us/congress/votes/111-2010/h165
There's always been a plan to replace it with the only economically viable plan that can reduce the cost of healthcare. The same plan Dr. Ben Carson has been talking about for years.
It's the only solution proposed by anyone from either party that would work.
Yes. Carson introduced that "plan" in 2015, right? Why do you reckon Republicans have not pushed it forward once in over the past 10 years despite twice controlling all parts of the federal government? Because it's D.O.A. flawed.
It does what basically every other non-starter contemporary Republican health insurance idea does: willfully misunderstands how health insurance works to appeal to rich healthy folks whose costs will be reduced at the expense of the poor sick saps who inevitably will die as a result. It's a straightforwardly eugenicist plan that would make Ebenezer Scrooge blush.
Why did every Republican vote against it? Because it was terrible legislation that nobody even got to read before voting on it. As Pelosi famously said, "You have to pass the bill to find out what's in it."
And the reason that you didn't get single payer is because you didn't have support for single payer among Democrats, who did hold a filibuster proof majority.
This idea that the ACA, Obama's signature legislation is some how a conservative push is not based in reality. It's a talking point to give it the appearance of bipartisan legislation, which it is not.
The Heritage Foundation influences were from a 1989 proposal that talked about the an individual mandate and health insurance exchanges. The Heritage Foundation itself has gone as far as to totally disavow any association to the ACA.
https://www.heritage.org/health-care-reform/commentary/dont-...
The ACA disaster is 100% on the party that forced it in along party lines, without even reading it first.
The GOP has zero plans to improve healthcare in this country, their messaging focuses on self-medication through their four magical products: raw milk, methylene blue, horse dewormer and Hydroxychloroquine. They are very much anti-vaccines and anti-science, in that they defeunded most health research and prefer an holistic/esoteric understanding of medicine to it.
Ultimately, I think this is good. The GOP is completely uninterested/unable of running this country. The sooner people realize this, the sooner we can be rid of them.