Despite the hysteria, still humming.
If you are under any employer sponsored medical plans, you can hum loudly. If you are under Medicare, you can hum, even sing. If you do not have a job, you can hum somewhat out of tune (no job), but because under poverty provisions, you can qualify for subsidized medical insurance. If you are live out of the country, you can either croak or hum because ACA does not apply to you. And your financial & health condition will dictate your humming.
There will be changes insofar as HMOs & insurance companies are still scratching their ass & crotch over the fact that their Mafia business practices will be affected. But then, their new generation of Ivy League managers will see that there is still alot of money still to be made, rather than going into loan sharking, kidnapping or drug dealing. Just ask Jamie Dimon.
Then the humming will get louder, from your unfaithful ex-spouse, your good-for-nothing kids, and your disloyal friends. Your dog might even start humming since you are not kicking him as much.
Yes, it is a big change, somewhat, like a mid-life crisis for a sick America. But a necessary change. As for my boring life, it is the same boring medical coverage. A coverage I hope I never have to use, at least sparingly. You know what I mean.