President Donald J. Trump and the Republican-led Congress have made it loud and clear that they want to repeal and replace the Affordable Care Act (ACA) signed into law in 2010 by former president Barak Obama. This historic legislation, more commonly called “Obamacare,” enabled 20 million more Americans to be covered by healthcare insurance. Even those individuals who had a pre-existing medical condition would now be covered under the ACA. The private insurance market in some states, like California, could no longer deny coverage because of a previous medical history. To gain the support of the private health insurance companies, the ACA promised millions of additional new enrollees to spread the financial risk.