A nest of pit vipers?? But, but, but - I'm so NICE, really! Too nice! I just am passionate about certain things, and am privy to discussions all over the place with people much smarter than me - especially about political issues - who have convinced me of the correctness of my point of view. And fighting with insurance companies has convinced me that they are evil, puerile, worthless bloodsucking stains on society, and the worst possible way to deliver health care - and THEY are behind the bastardized, watered-down, worse-than-it-was-before effect on people who HAD employer paid/subsidized health insurance before. The insurance companies and their paid congressional TOADIES delivered us an ACA that they hoped would be DOA - but I think that what is going to happen is that people are going to "get it" and start demanding it be improved, that the fetters be removed, and that we get a decent health care system that is a better version of Medicare for all (and then the reimbursements will even out, and more doctors will be willing to be part of being able to deliver more health care with fewer administrative burdens). It could happen, and I think that it will.
I see the situation as being somewhat akin to what is going on in patent law right now. The Supreme Court (SCOTUS) has over the last few years BUTCHERED some cases, CHANGING long-established principles of the law for the worse. Interestingly, some of the reasons behind it are a strange concatenation of lobbying from the computer giants, who want to undermine patent law (it doesn't really suit their short term interests anyway, but can be exploited by small inventors with good ideas who then sell their inventions to well-funded invention companies who then sue the big computer companies for infringement - the so-called "patent troll" problem), but the same principles involved - patentability of methods of doing business, "abstract ideas" (which SCOTUS cannot define but doesn't like the smell of) and "natural laws" - has caught up biotech companies in the latter (by design, and exploited by biotech wanna-be infringers. The latter have managed to get SCOTUS to extend their anti-patent stance to find as not even patent eligible, inventions that have LONG been considered patentable, like isolated genes, proteins and other products, and diagnostic methods (because they only measure "naturally-occurring correlations, e.g., something in the blood and that the patient has a disease.
So SCOTUS made rules about particular cases - but in fact, the Patent Office thinks SCOTUS got it wrong. But they are an administrative agency - so they can't change the law. So, to express their unhappiness with it (this is MY interpretation), the Patent Office read the stupid SCOTUS cases and extended the exclusions from patent eligibility as FAR as they could, reading the cases in the way that was WORST for the inventors. Why? So they would scream to Congress to fix the law to overrule SCOTUS. Because that's the only way to fix it.
And I think the same thing is going to happen with the ACA.