Can you clarify for me exactly how life expectancy has been declining since the ACA? You “clarified” by abandoning the claim that that’s been happening. So we’re agreed that that hasn’t been happening, you’re just unhappy that it hasn’t been increasing by more, and convinced (for some reason) that the ACA is responsible, yes?

By which measure did health care quality improve since ACA?

Are you familiar with Russel’s Teapot?

I’ve been clarifying my own position plenty of other places in these comments, and multiple other commenters have listed multiple specific ways in which health care improved when the ACA was passed.