The primary flaw with The Patient Protection and Affordable Care Act is the lack of a public option to purchase health insurance without being forced to add to the profits of private health insurance companies.
Why is this important?
The government should organize a "Federal Health Insurance Corporation" along the lines of the Federal Deposit Insurance Corporation (for banks) to provide health insurance. Premiums should be set just high enough to cover the costs of providing benefits and adjusted regularly. This would make the F.H.I.C. revenue neutral, yet would provide significant savings for those who elect to purchase health insurance through this public option.