Much of the noise about the Affordable Care Act (ACA) recently has been about the nonfunctional website. That makes sense in that the ACA forces people to get insurance but the website makes doing so impossible. However, I think the larger issue is what happens after the website is running. Dr. Jane Orient of the American Association of Physicians and Surgeons (AAPS) discusses the idea that the ACA is a system designed to fail. When that happens, government can then take over insurance and medicine both. When resources are limited, governments have to make priorities. They generally give resources to the most productive while withholding them otherwise. That means that the elderly, and (more germane to me), children, are likely to get last place in the line for medical resources. Although, I am worried for the elderly (I hope to be included in their ranks one day), as a pediatrician, I feel the need to fight for what is best for children. I do not think that includes supporting the ACA.