A Total mess and a huge burden on the middle class. Personal health care experience, You go to an exchange get a primary doctor (discover that the doctor isn't taking any more patients) you're exchange can't help find you another primary doctor. The premiums are so high that you can only afford a policy with high deductibles. You don't go to the doctor for preventative medicine and you are worse off. Your other choice was being forced to pay not to use the health care system and that's big government socialism.
One of the architects of President Obama’s Affordable Care Act (Jonathan Gruber) appeared on CNN in October 2016 and claimed the system is “working as designed” — it just needs to punish people more with higher taxes who don't pay the penalty. In another CNN article He also said "The American voter is stupid". Let's first look at what Gruber actually said: He was defending the fact that the law was written behind closed doors and he said Democrats intentionally made the law confusing to mask the fact that the law instituted a new tax to pay for health reform. Why'd the Democrats do this? Voters don't like new taxes. Gruber said it was more important to get health reform than to be up front.
Sounds like a radical unilateral view about how to fundamentally change the health care of this country. Keep obstructing the remake of healthcare and we will see another 4 years of Trump while he fixes it. Thinking further we will see another 4 years of Trump regardless. He's making America Great again.