Far better. Something like 12 million people got health insurance who didn’t have it before (compared to the millions who lost health insurance now), there were standards to ensure plans actually covered common medical issues (also no longer true), and it was subsidized by income to be far more affordable than the true cost. Yes it also had clauses to better support medical providers (including rural hospitals that are now closing) while insurance remained profitable. It was far better than what we had and the hellhole we’re jumping back into.