Proponents and opponents are overly optimistic or pessimistic. M4A is not happening unless Dems have the WH and overwhelming majorities in both houses of the Congress. Obamacare is a Rube Goldberg contraption that has unduly complicated health care for consumers. A major fix and or credible replacement that can pass Congress and by signed by POTUS is needed. One that does not make consumers virtually captive customers of insurance company bureaucracies as Obamacare does.