Jeff Jacoby is right to excoriate the failures and misrepresentations in the implementation of the Affordable Care Act (“Obama’s bogus claims pile up,” Op-ed, Nov. 3). But it is difficult for me to fathom his apparent preference for the status quo in health insurance.

Who would want to return to a system that left more than 45 million Americans uninsured, with 45,000 deaths a year linked to a lack of coverage?

Surely Jacoby does not really think that millions of Americans like the cheap insurance policies that are the best they can afford. Should a serious illness strike, these policies would leave them bankrupt because of high deductibles and copayments while refusing them needed therapies through sophisticated denial-of-coverage schemes.