The bad is that big, encompassing social programs don't go away once instituted - ever. There will be no un-ringing of this bell. And, it in less than a decade, all insurance would be owned, operated and administered by the Federal government, forever.
I think the Red states will say screw you Feds.
But as the Supreme Court once said, what the Congress creates the Congress can uncreate.
We shall see.
CA....