Video of obamists talking among themselves make it plain that their intent from the beginning was a system that would close out private health care and leave public health care as the only alternative.
What they said in public about being able to keep your doctor and your insurance if you wanted was always eye- and ear-wash from the beginning to keep the masses mollified until it would be too late to turn back. That’s not what they said among themselves.
Byzantine? That’s how a totalitarian thinks. It doesn’t have to be convenient or user-friendly. It doesn’t have to work at all. He just passes a decree that you must buy what he is selling. If it works or doesn’t work is your problem.