Well neutral in a way or schizophrenic (of two minds).
I see it as the insurance companies are invited by the Democrats help write this thing and get it through or we write it and get it through without you.
One way you can influence the outcome the other you don't which way would you choose. Considering the makeup of congress and the executive at that time they didn't have much of a choice.
Of course there was AARP who was a true believer and one of the few that seems to be quite happy with the outcome.
Actually, United was forced to drop it’s excellent Medicare Advantage plan and promote the ordinary Medicare insurance where is no chance of loss. AARP was their largest sales agent
My medical group dropped United because they couldn’t pay their bills.
They provided the very valuable cover (as opposed to coverage) to allow the Obamists in the media to present it as a reasonable and workable plan. Fellow travelers at best, or those selling the rope to hang themselves at the worst.