At least Obama got things started for HC reform, the US was notoriously lagging behind in this regard.
When government sponsored HC system start, there's usually entailing problems because the system needs time to build up its financial base, after a point in time adjustments may be needed.
I agree to what others have said that Obama structured a plan that would appeal to pass into Congress.
There has to be a HC plan which people who aren't employed or desperately poor, who have existing health conditions, can acquire affordable HC insurance.
That's what Obama's original intent was all about.
An example of government sponsored HC in Canada .....
A single person who has an income of over $35,000 would pay about $72 per/month, a family of 4 would pay about $150 per/month, if your yearly income is below $20,000 you would be prorated reduced to only $25 per/month for a single person etc.
The key to why this works though is that everyone is on the same program, which builds up the monetary balance of the entire HC system.