The bottom line is these people desperately need the health care they're currently getting, limited as it is. I hope members of Congress read this, and realize that whatever they do could have a devastating impact on very real people. And maybe they should quit worrying about the impact on lobbyists and campaign contributions.

https://www.washingtonpost.com/graphics/national/west-virginia-tug-river-obamacare/  

First, that patient is high risk. He should get a referral to a GI doctor for an endoscopy.

Second, why did she prescribe brand name Nexium? First line PPI is generic omeprazole.

As to your point, there was no need to force nuns to buy contraception, force all doctors to spend 1/2 their time filling in boxes in electronic records, set up a system that gives hospitals unfair competitive advantages, doubles or triples nonsubsidized people's premiums etc etc etc if the goal was just to expand Medicaid.

The 10% of the good in the ACA does not make up for the 90% that is horrible.