Mitch McConnell has called off the vote on Graham-Cassidy, so the last ACA repeal/replace bill for this budget reconciliation cycle is off to rest. For now. If Congress can pass a budget resolution (simple majority) they can then trigger another opportunity for budget reconciliation, and another opportunity for ACA repeal/replace under a simple majority.
There are no winners in this situation. There are still many problems in access, quality and spending in our healthcare system, both related and unrelated to the ACA. Of course, I am biased towards coming up with thoughtful, evidence-based solutions– whether they come up in reconciliation or bipartisan effort.