So cwolff things ACA is a success story because a guy who refused to have insurance, ends up getting insurance to pay for a critical surgery.

Silly cwolff. ACA would not be getting credit if this exact same story happened 5 years ago, but instead it would be a story about how a guy avoided having to pay for insurance for years and then ends up getting 'a free ride' on the premiums of others.

The question is why is the story not about the later?