"Nothing is more permanent than a temporary solution".
Mark my words, this is the beginning of the end for Obamacare. Regardless of how you feel about Obamacare or its ideological intentions, I can tell you as a professional with many years in health management experience that its implementation and enforcement provisions are completely detached from reality. As their effective dates approach, more and more once-supporters will complain (quite legitimately) that they will make things worse for the most vulnerable Americans - and the incompetent bureaucracies charged with implementation just demonstrated how they will address said concerns. They will delay implementation and hold out hope that the next election will bring a Congress that can fix the issues - except that's not happening as it barely squeezed through in a Democratic triumvirate in 2010, and this will destroy its popularity even further.
RIP, Obamacare. I told everyone this wasn't going to work.