I don't see how this is a useful distinction, but am open to your input. In the pre-ACA insurance marketplace, pre-existing conditions either precluded individ

I don't see how this is a useful distinction, but am open to your input. In the pre-ACA insurance marketplace, pre-existing conditions either precluded individuals from coverage or forced them to pay for more expensive plans. Self-employed individuals were in a similar position. Without insurance, health care, ranging from the mundane to emergency room coverage, was/is exorbitantly expensive. What rhetorical clarity, then, do we gain by explaining that the ACA is not health care?