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I think after 30 Plus years of struggling the "right way" and failing all while hundreds of thousands of us die has made us all a little willing to try a new way. If it fails also then oh well no harm done. At least to no one we're not willing to lose.
That's my take, too. I've done activism, and peaceful protests, and letters to my Congresscritter, and done it all for a long, long time. Years and years of doing what we're supposed to hasn't accomplished squat. Luigi's activism seems much more effective.
I don't think the ACA was a failure, it improved some of the most glaring issues, and made a big difference for me personally. US life expectancy has continued to rise over most of those 30 years. Affordability is worse, this particular problem of scammy, "let's maximize profit by dishonesty and disregard for humanity where we're likely to get away with it" insurance is worse, but the system as a whole could be allowing more death and suffering than it is.
Maybe it isn't the person that is the loss, it's the risk of further increase in the general level of fear, corruption, violence and chaos. Political murders aren't free. If the answer to how the benefit can be worth the cost (or even how there is any benefit) is "dunno lol" maybe it isn't.