Probably depends a lot on where you live. If you live down here in Republican land where the governors decided their hatred of Obama was greater than their love of the people of their state, and didn't participate in the program, then , yes , it is a mess. In fact our idiot governor is whining that Medicaid is draining the coffers of the state and asking for a lottery to pay for it (a lottery is a good thing IMHO) , and set up exchanges like he should have done, then we here in Al may have found Obamacare quite good. Shudda, wooda, kudda , I know, but there are a lot of places where the governors worked for their people , and many of the people in the state like it.
And , our little state would not have the cost of Medicaid being any problem .