I wish I understood this and could figure out what to do about it. I have family in southern Utah, in a county that voted 87.5% for Trump, in part for his promise to repeal Obamacare. Some of them are on the ACA and like that but they detest Obamacare.
One of them with no insurance recently had some scary symptoms that the emergency room wasn't equipped to deal with, so we bought him Obamacare. If you call it the ACA, they'll accept it, but somehow our politicians created this confusion and anger.