. "ER's, free clinics, charity hospitals, Medicare, Medicaid...etc, ACA is the most insane thing i ever heard of, i just do not see any reason how it will help anyone. pre-existing conditions? how about a pack a week smoker, he is 27yo? will some worker at macD's get to go to the Mayo Clinic for exams or anything? as an ex-pat, can i sign up and fly back to get a heart transplant? what does it really" . . . .