While there are always going to be some idiots, I don't think everyone thought that the healthcare would be the same as top-dollar private insurance. But there is a large group of people who have no coverage because they fall in the gap between being able to afford it and qualifying for assistance.
Jobs offering really good insurance at not much cost to the employee tend to be a pretty narrowly specific type of thing (well, actually I just realized I have no idea what is a common employee contribution for insanely high-paying jobs with good benefits, it could go either way), not high salary, generally requiring a bit more education than other jobs that don't even have the potential for a future high salary, and limited mostly to high-stress fields like social work.
Health insurance appears to nationwide be similar to housing and childcare here in NYC - if you don't have a personal fortune, or assistance, you're going to struggle. You can't just say, oh, it doesn't need to be fancy or trendy, just safe and adequete, that's still going to cost something that will be difficult.