Dear Editor,Prior to the primary election, I was sitting at the Welcome Inn in Larned listening to Dr. Marshall stump for a Congressional seat. He talked about the Affordable Care Act (Obamacare) and, in very general terms, said that it has got to be replaced because of failed promises and the impact it was having on doctors and their practices.Most of us dont know that the ACA was a massive restructuring of the healthcare industry (probably more so than any other industry in the USA) including: a multitude of new taxes in order to pay for the restructuring (the Supreme Court upheld it as a tax law); new diagnostic and treatment codes (an increase from 14,000 to 69,000 codes); established a monitoring and reimbursement process for how much insurance companies can charge for insurance and limited how much can go toward overhead and profit; Medicare/Medicaid reimbursement is being changed from the fee-for-service modelin which providers are paid for each treatment, test and office visit to one that compensates providers on quality of care with performance measurement standards and reporting requirements (it required the creation of new organizations called accountable care organizations); the creation of a whole new level of bureaucracy called health insurance exchanges/marketplaces; established new penalties for non-compliance which inflated the number of federal employees needed to monitor and assess and enforce penalties.Regarding the impact on doctors, the ACA provided very little support, especially for those in private practice, who were faced with the new coding requirements and a huge number of new reporting requirements and paperwork. Some doctors now spend 25% of their time filling out forms and rechecking codes.