Whatever the intent, ACA at present--beleaguered by obstructionist, cold-hearted Republican state assemblies while beholden to a crazy for-profit model--is increasingly unsustainable, and the transition as people have to reapply for 2016 and learn how much things are changing for them will either 1) make them really, really ready for single-payer or 2) increasingly hard-hearted against any govt support/intervention at all.

I think we're seeing that play out right now, actually. Despite HRC's protestations, more Dems and Independents will just say do single payer and get it over with. Right wingers see more evidence to hate some group or another for supposedly overburdening the system (when it's the health insurance and pharma lobbyists who are doing it).

Everyone will be or know someone with a "story." It's like recession is when you know people out of jobs--depression is when you've lost your job. This will play a much larger role in the election than people realize, I suspect.