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The ACA got kneecapped by the Supreme Court when they struck down the Medicare expansion. It's basically useless as it stands for poor people like me in conservative states. I'm a leftist but I'm more social democrat than socialist. We're at a crossroads like we were in the thirties where shit was so bad that fascism and socialism rose together. The New Deal was a salve that preserved capitalism and we need another one like it because the alternative is fascism. M4A is a part of that. I'm personally more for a public option.