According to Thomas Piketty, the U.S. is the most inegalitarian nation in the world, and on current trends may soon become the most inegalitarian nation in history.
Conservatives insist that higher incomes at the very top fuel investment and growth and improve living standards. Real-world outcomes make nonsense of these claims.
There's no reason to expect rollout of the ACA to go smoothly, but the overall prognosis is bright and the first exchange insurance prices are lower than expected.