[ewjordan]

I suspect that you already know the answer here: better !== better for everybody, and worse for you !== worse for everybody.

A lot of people even think that "more expensive for most" still qualifies as "better" as long as it means that people that previously could not get coverage at any cost are now able to, since none of us know when we might develop a "pre-existing condition" that pre-ACA would have made us uninsurable forever.

Whether a system is truly better or worse depends on how you account for all the different people that it helps or hurts. http://www.politifact.com/truth-o-meter/article/2017/jan/05/... has some examples that suggest that things are better for a whole lot of people under ACA, but I'm sure other groups and analyses will paint different pictures.