[kiruwa]

NHS and ACA really have absolutely nothing to do with each other.

The NHS has serious problems related to accountability, the typical problem with huge multi-level government bureaucracies. Honestly, the NHS has similar problems to the American public education system, for mostly the same reasons.

The ACA has the serious problem that it was explicitly sold as a way to contain costs both at an individual and aggregate level. That has pretty much been exposed as a lie.

The ACA has been good for the narrow band of people who were included in the expanded medicaid coverage, but it's not too hard to imagine a separate (and much simpler) bill that accomplished that part of the bill, without the massive rework of healthcare for the middle class.