Obamacare is working in states that have embraced the idea that this is an issue of Federalism, not ideology. Our working media is not capable of explaining this, of course, since everything is a horse race.
Each of the states that create and evolve and implement along with the Affordable Care Act will find a way to make the system thrive. The states that choose ideology and plan for it to fail will make it fail at their level. It's as simple as that.
If you want to have health care, plan on moving to a state where they understand Federalism.