I lived in SW FL for 5 years and I can’t tell you how many doctors opted out of ACA because it was tied to Obama. Patients would have to drive 2.5 hours for specialty doctors with ACA because local assholes refused to take it. It really put poor people in a bind. My ex-husband was a nurse for 35 years so I saw how healthcare was harmed by the systems and political activists physicians. We moved here to care for poor patients, I saw firsthand how hard that really is. Especially the elderly.