The answer, of course, is yes, and it did Even If It Improved Medical Outcomes for one very simple reason:
Or to put it another way, Obamacare is not just a tale about healthcare and costs; it is also a story of people who feel trapped in a capricious system that they don’t understand, much less control. Little wonder, then, that Trump’s message about empowerment and fixing Obamacare turned out to be so popular this year. Now let’s see if he can deliver.(emphasis mine)
This is typical of incrementalist "squish" progressives.
They create a program with overweening bureaucracy with extensive means testing, and create a system that is opaque and abusive to to its recipients.
For them, it's a win-win:
- They think that they can sell this to conservatives, because they ensure that all recipients are "deserving". (Note: this never happens)
- They create jobs for the professional class that is the base of the Obama/Clinton wing of the party.
- They create opportunities for private gain, which is an independent good according to their neoliberal worldview, because it will create market driven innovations.