They are hoping that the American people and our health care system will figure out how to make it work. More by necessity and desperation than actual organized and structured planning. It will probably end up being a hodgepodge of laws and regulations that give preferences to cronies and poor health care to those who need it. It will probably collapse and with the only alternative being a single payer system because the original health care system will have been destroyed.
And of course, they will take credit for it if, by chance, it is made to work.
I don't think it was ever MEANT to ‘end up’ as anything... but rather to remain ever ‘at-hand’ as THE perfect and versatile cudgel to bully and manipulate taxpayers.
It will perpetually morph into whatever tool the ‘state’ needs it to be, WHENEVER it is needed.
The ACA was written in intentionally inscrutable language, to be expedient, efficient and perennially adaptable to the needs of, NOT US taxpayers, but to all and every current and conceivable need and objective of this and every subsequent Congress!
The Social Security system was the blueprint and dress rehearsal for THIS monstrous and ruinous legislation.