Naaaah, not the worst of both worlds. That's more what we had before. Even as screwy as things are now, we're still in a notably better place healthcare wise than we were a decade or two ago. More insured, costs slowing down most places, less dickery being given free reign, buncha' other stuff.
... says a lot about how it was going before, really. I'll put in some effort defending the ACA, flawed as it is, but I do still hold we would have seen similar gains if we had just beheaded every healthcare related CEO and/or upper management figure in the country. Literally beheaded. Nothing figurative, there, and not really any other actions. Maybe make little cryofreeze boxes and mandate the installation of their preserved heads on a pike in appropriate business offices, I'unno. Stuffed and mounted if you're going for cost savings, I guess. Then it's just a matter of telling whoever takes their place that if they bungle things as badly as their predecessors, they're going to be the next wall ornament. Eventually we'd either have a working healthcare system, or some very cluttered hospital business offices. Normally I'd be rather troubled by that kind of suggestion, but the folks in question are handling the lives and deaths of a hell of a lot of people and they managed to hard screw quite a large number of them. Seems like it might be fair for 'em to ante up a similar investment if they're going to be making a hefty paycheck off it, y'know?