There does not seem to be any middle ground. No DMZ.
The Democrats must own up to the failures of the ACA. It is not a total failure however the intricacies and secondary effects are huge, some which providers hospitals and insurers predicted. And then some that were a surprise.
Health providers not only want it corrected, it must be corrected and soon. It is time to tweak the law. Some changes are not tweaks. The past two years have exposed the weaknesses. When you build a program and it does not work well it is time to study the negative aspects and make corrections.
Over the next three years more cracks will appear in the ACA. Expect it and also fix it. The cement has not yet hardened and there is still time to mold the ACA.
Health reform is such a huge undertaking that no one should expect immediately gratifying effect, except those who measure sucess by how many millions of people now carry an insurance ID. In some cases the ticket is not worth very much due to high deductibles, limited provider access, and prremium still beyond affordability except in the government's table of allowable expenses for medicaid. The figures based upon the FPL are obsolete and do not account for geographic location. It costs much more to live in Los Angeles than Topeka Kansas.
The amplitude of the argument is increasing without any serious introspection on the part of the democratic party.