Ya it seems like a certain political party wants us to be so far behind the curve on this ****. That might partly explain why we are so far behind the curve on this ****.
From what I remember Obamacare was supposed to be much better for us than it ended up being. Had to be butchered and made much worse in order for the Republicans to allow it.
No Republican voted for Obamacare. I hated it because it was a poor mix. The biggest issue (as we see with many laws) are the strong lobbys. Many Democrats didn't want to piss off their lobbyist donors, and the healthcare industry is strong. No Republican voted for it, but a number of Dems in the house voted against it.
Go true full socialized medicine or nothing. And Dems picked a middle ground that is better in some ways, and much worse in others.
The courts ruled the penalty was unconstitutional, but most of the law remained. It was a poorly thought hodgepodge from the get-go.
The problem now is those on the exchange find it next to impossible to get competent doctors in many areas. These plans have the worst (minimum) reimbursements, so most doctors, which we have a shortage of, so they can choose to be picky, simply don't accept those insurances.
We have the benefit of an influx of good doctors due to better pay/reimbursement. If we match the rest of the world, our doctor shortage will drop even more as fewer will want to take on medical school debt, and more will stay in their home countries. Not saying that should deter us, but it should be well thought out to ensure all facets of impact are considered and design around that for best outcome...