That's just the thing, there were OBVIOUS unintended consequences from the ACA, that those supporting it (not just Obama) ignored. The "you can your plan/ you can keep your doctor" promise showed an appalling amount of ignorance about the system they were "overhauling". That promise could not have been reasonably made/kept before the ACA, much less after. While it is not the doomsday disaster that opponents would have you believe, it has not solved any of the problems it was supposed to, meanwhile it has added excessive bureaucracy.