Seems as if just about every day there is either a study, news from the actuaries, the administration, the states or medical providers that warn us of some sort of negative impact that we will see as a result of the ACA.
One of the worst impacts will be on at the state level, the classic bait and switch, we'll cover your Medicaid expansion costs for the first x amount of years, then after that, "don't worry about it, health care costs will go down, so you will be fine"
State budgets will explode! Which will lead to even more dramatic cuts for state government Union employees, and of course they will all be asking Uncle Sam to bail their ass out. Then you will see liberal lawmakers blame Conservative governors for slashing budgets, that basically were imposed by their crappy piece of **** legislation. The ACA sucks ass. Some of us have been saying this for a few years now, soon we will start seeing everything that was predicted.
It will be interesting to see how Liberals will react to this abortion of a Law that they created all on their own. Will some of them remain quiet and hide? Will some of them predictably say "see, we should have had the public option". Will some of the more moderate democratic voices admit that it could have been crafted better and support a repeal or a major overhaul. or will some push for Single Payer health care?
In any case, it's a train wreck that will undoubtedly affect our health care system, small businesses and state and federal budgets.