Roger Beller claimed in his Jan. 4 letter, “Health care was better left alone,” that “[p]rivate enterprise has established that it is capable of doing the deed.” Would that be the same private enterprise that declined to offer health insurance to those Americans most in need of such coverage? The same private enterprise that unilaterally denied claims by insured Americans because of “preexisting conditions”? The same private enterprise that essentially offered seriously ill or injured Americans without health insurance the choice of bankruptcy or death?

There is no denying the fundamental flaws in the Affordable Care Act’s implementation. But there is also no denying that the health-insurance marketplace of private enterprise was in dire need of fundamental change. 

Bob McFadden, Alexandria

What alternate universe does Roger Beller inhabit? He neglected to note that private enterprise managed to leave 41 million people uninsured. He also did not note that the government programs of Medicare and Medicaid insure many millions more, many of whom could not afford private insurance or, especially in the case of Medicare recipients, would be disqualified from coverage because of preexisting conditions.

John Elsbree, North Bethesda