Former President Bill Clinton characterized the Affordable Care Act Monday as a “crazy system” in which small business owners are “getting killed.”

“We’ve got to figure out what to do now on healthcare,” Clinton said Monday at a campaign event in Flint, Mich. “Her opponent [GOP nominee Donald Trump] said, ‘Oh, just repeal it all. The market will take care of it.’ That didn’t work out very well for us, did it? We wound up with the most expensive system in the world and we insured the smallest percentage of people.”