Let’s stipulate that most people who favor the
ACA have honorable intentions: they want everyone, including people
in ill health, to have access to good and affordable medical care.
All decent people should want that. Nevertheless, explains Sheldon
Richman, the problem is that in making government policy, unmovable
obstacles often stand between motives and desired results.
from Hit & Run http://reason.com/blog/2013/11/03/sheldon-richman-explains-the-affordable