If it wasn't clear before, it should plain as day now, that the ACA is not, has never meant to be, and never will be anything about 'healthcare'. It is about redistribution of wealth, lining the pockets of supporters, and ensuring govt run agencies - no one elected to represent the will of the people - will have power us. The IRS, the 'panels' of doctors and insurance agents. All appointed. No free will. No choice. No improvement in the quality of care people receive - or the cost of it.
The fact that the President never met with the her is another example of his inability to effectively manage, and actually 'work' to get something done. President Obama's only skill is in delivering emotionally charged speeches that make some people think that when he is done talking he will take some action. That is just not how he has ever operated.