Under Obamacare, there are indeed winners and losers. The winners are the poor, old and sick while the losers, the young, healthy and rich pay a bit more. Overall, healthcare costs are under control and everything the right predicted did not happen.
"I never meant to say that the Conservatives are generally stupid. I meant to say that stupid people are generally Conservative. I believe that is so obviously and universally admitted a principle that I hardly think any gentleman will deny it." --J.S. Mill
Let's come back and talk about this in 30 years after everything has a chance to settle down.