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As the Affordable Care Act (ACA) approaches its 14th anniversary, a significant political divide persists over its future. Former President Donald Trump has reiterated his intention to repeal the ACA if re-elected, a stance that has sparked concern among healthcare professionals and citizens who rely on the ACA for coverage, especially for pre-existing conditions, affecting up to 140 million American patients. In contrast, President Joe Biden, alongside Democratic leaders such as Barack Obama and Nancy Pelosi, has been mobilizing efforts to protect and expand the ACA. These efforts include a national organizing call to mark the ACA's anniversary and a new digital advertisement campaign by the Biden campaign criticizing Trump's repeal efforts. The ACA, credited with expanding healthcare coverage to millions of Americans, including veterans and those with pre-existing conditions, remains a pivotal issue in the political arena, with Democrats vowing to strengthen it and Republicans aiming for its repeal. Since its passage, over 40 million have gotten health care coverage through the ACA, and 4 out of 5 people in a Marketplace plan pay less than $10 a month.