The perpetually sick are still screwed. Diabetes etc.
The healthy are screwed a little, out of cough & cold visits, paying premiums and still having huge deductibles.
The very sick are getting big help, liver transplants, cancer, whatever. It comes at the cost of run of the mill healthcare, which has been decimated IMO by the high deductibles. You basically don't use it, or hit the max out of pocket. Anything in-between is hugely cost prohibitive. It hasn't affected healthcare as a whole yet because the individual market is ~11 million or so apparently compared to I'm sure a good 100 million on employer plans. But it probably will after 2018 and the employer mandates kick in.