A recent letter indicated that anyone against the Affordable Care Act (ACA) is uncaring. In my practice I have seen about three harmed for every one it helped, some studies are a little better at one to one ratio. Other things not being discussed are people who have the ACA insurance have an out of pocket deductible averaging $8,000 to $10,000, which I would argue for the average working family is the same as no insurance at all. The ACA by design left 10 to 15 million people without coverage and is not delivering on Obama's promise of making healthcare more affordable or if you like your doctor, hospital, or insurance you can keep it. So other than government takeover of the health care system, what actually was gained by it? It seems to me to blindly support a deeply flawed law is uncaring.