Ours is a bureaucratic mess because of government interference. If you think health care is a mess now, just wait a couple years. As a senior, I expext my life has now been shortened because of this. There is a VERY high incentive to delay health care to seniors with acute health problems.
I predict 100 million without health insurance once this kicks in. As mentioned above, full time workers will become part time workers--under 30 hours per week. Same hourly pay. Good luck existing under that scenario.