As annoying and irritating as this latest bout of histrionics in the House is...if everything plays out the way I expect and the government shuts down as of Tuesday..the fight against the ACA is over..done..kaput.
This is the GOP's last stand on this matter..their final curtain call. A government shutdown will not stop the health care exchanges from opening up on Tuesday..and once that happens and the first insurance policy purchases are made, the ACA is a fait accompli.
...and yes..it's possible that parts of the ACA may "fail" as the GOP likes to say..but if that happens..they will be tweaked as all things in the past have been if they have been determined not to work as they intended.
So all things considered...in the face of the impending government shutdown..at least one thing will be resolved.