Republicans used the ACA as a wedge issue to motivate their base. Driving up premium costs was them hitting the hammer. The press failed to hold them to account. There was a big backlash though in some town halls where they would get called out so much so that they stopped attending town halls! Insurers want rescission and pre-existing conditions because it is a very profitable business when you don't have to pay out claims. I agree that we are lacking in trust as a society, we only trust the almighty dollar and maybe our local communities. The real problem is that people keep voting republican because they refuse to think. But that excludes the massive voter suppression they engage in in their red states as well. You can see that if people vote most states will turn blue. We need more engagement.