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.
Because it will be chaos for Americans. And with the help of the GOP and Conservatives, guess who get the blame? The Democrats, of course. So it will probably be hastily thrown together, peace-meal implementation, and waivers for cronies.
Exactly what we hate the most about anything run by the government.