I’m not much for “heightening the contradictions”. There’s an old saying, that when someone says “minor surgery” means someone else is getting operated on. Well, I think when someone says “heighten the contradictions”, it means someone else’s life is being destroyed by awful government policy.
So I think we should fight like hell to save ACA. That said, how on earth can the Republicans not think that their latest shitcare proposal is a one-way ticket to single payer within ten years? If 30 million people lose their health care by 2020 because of a shitty Republican bill, it’s not going to be that hard for President Gillibrand or President Harris (or maybe President Brown) to get a single payer bill through Congress in 2021.