The dems wrote this bill when they held majorities in both houses of Congress.
The bill creates "regulations" which are still being revised, implemented by the President, under powers granted in the original bill.
Obama will be long gone, when the total cost and result of the health care issue becomes clear. Most of what it did that was "good" could have been done without the total upset to the health care system.
On the example side, I know three middle aged women, low-moderate income. They were uninsured for years, and went without much medical care.
They now have insurance policies, are getting the care they skipped. Covered California.