Aetna’s CEO Mark Bertolini said that if Obamacare does not get fixed and nothing happens to it, “it is going to continue to deteriorate.”

Speaking at the Fortune Brainstorm Health Conference, Bertolini said the Affordable Care Act needs to be fixed since it cannot be repealed.

“We have a bill that’s been passed and quite frankly the current legislature, the House can but not the Senate, cannot repeal it,” Bertolini said. “I’ve spent enough time inside the legislative labyrinth understanding what can be done or what cannot be done under reconciliation, and we cannot repeal Obamacare, ACA, whatever you want to call it, without 60 votes in the Senate.”

“What we need to do is admit that it needs to be fixed,” he said. “Eight years without touching it, no piece of major social legislation has ever had that happen.”

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