The Affordable Care Act has been highly successful and does not need to be changed or repealed.

Millions of Americans have health care that they could not obtain before. Those with pre-existing health conditions who have gone all their lives without health care because they were a “liability” can now have insurance.

Young adults who are struggling to find jobs fresh out of college can now stay on their parents’ insurance policies to the age of 26. This removes the financial burden some parents took on to make sure their children had coverage and did not have to pay a penalty.

Premiums can drop in price because of the millions of Americans who are adding money into the pool of money insurance companies use to pay for medical bills. Insurance companies also must spend at least 80 percent of their premiums on medical bills, versus not having any regulation before.

Making insurance required for all Americans also prevents those without insurance getting a major operation and not paying their bills. These bills eventually would get taken from the taxpayers’ pocket.

Keeping the Affordable Care Act would help millions of Americans that once couldn’t afford health care to continue to be covered.

Jackson Ludlow, Washington