The horrible irony is that, whatever happens now, less people will be insured and a lot of those who are will be brought to the edge of poverty by either buying something they can't afford or paying a penalty for not doing so. The best I can tell is that the cost of everything at least doubles under ACA for healthy people. So someone that has a gold or platinum plan now will only be able to afford the bronze plan com the first of the year. I fiddled with a few numbers for my zip code. Even people that are eligible for a bit of subsidy under ACA will still be paying more in premiums than if they bought coverage in 2013..
I see a few more horrible problems. One is how are the insurance companies going to collect the premiums ? Will people be able to cancel the insurance, or will they just stop paying? What happens when people get sick out of state, or what about those who split their time between two (or more) residences? And then there's that situation with deductibles. What about people who can't pay them? Will this be a whole new source of loans, like mortgages and student loans, that people can't pay? And what about when people's economic situation changes?
Nobody thought this through. Some people say it's deliberate sabotage; I suspect not. It's just a mess created by all the greedy *astards that could do so having their own agendas written into the law.