Is there a moral defense of not passing it, where it’s considered morally preferable for millions of people to continue without having insurance?
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I don't really accept your characterization of the effects of the ACA. Its effects are complicated, but it worked pretty well in urban and suburban areas and struggled in rural areas bc rural HC is REALLY hard, particularly as those areas are stagnating for other reasons.
Let’s be clear. I’m not arguing against the ACA. I’m arguing against the idea that support for the ACA, or really any specific policy, is a reasonable proxy for moral or ethical behavior. You can be for expanding coverage and think the ACA is not a good law
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So, moralizing about universal health care generally is ok, but moralizing about the ACA specifically is not.
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The thing is no matter what if you want everyone to have healthcare then people who actually have money will have to pay for it. Any universal system will be redistributive.
End of conversation
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