For one thing it does little to curb price inflation (my costs for prescription went UP this year, for instance, maybe to pay for the elimination of the donut hole). But it does curb innovation and make becoming a doctor a losing proposition. We can expect a dearth of doctors, which dearth will be made up by people with lesser education and experience. We will quickly lose our position as leader in the creation of new medical devices and procedures.
The Dems in their infinite wisdom failed (refused?) to institute commonsense details such as portability and erasing the artificial state-line barriers to purchasing insurance. Both would have gone a long way towards slowing the rise in health care costs.
Then, of course, there is the "cliff" facing us in 2014. The "good" parts of Obamacare were front-loaded, but all too soon the "bad" parts will show up. The administration is busily preventing parts of Obamacare from becoming operations, and exempting political supporters selectively from others. Why not just change the law?
Absent some pretty hefty changes to Obamacare in the next year or two, we're in for a tsunami of so far undetermined proportions.