It has nothing at all to do with the "current administration". The republicans have absolutely NO proposal at all regarding health care reform, and what you are now calling "Obamacare" is in fact a 25 year old republican proposal that was originally instituted by a republican governor and recent republican presidential candidate. So the ACA is not the brainchild of "this administration". Nor is government incompetence. (Do we need to revisit the total fiasco of "Iraq war"?)
The reason we do not have good health care in this country is because the Congress and the Senate are for sale to the lobbyists that give them massive amounts of bribe money to create the legislation that the lobbyist's clients want. And the lobbyist's clients are the whole health care industry: the insurance companies, the drug companies, the medical supply companies, and the health care providing conglomerates. ALL these companies are making huge profits off of health care in this country, with the result that we are paying nearly twice what every other modern nation of Earth pays, and we are ranked 37th in terms of overall quality of care.
The ONLY way we are going to reform health care in this country is by reforming the flow of bribe money into the state and federal legislatures.
This IS the real world. And not only don't we fire these people, we elect and re-elect them over and over and over and over. Obama didn't invent Obamacare. Obama didn't write it into law. And Obama didn't even want it. He still doesn't really want it. What he wanted was REAL health care reform - a single payer system like all the other modern nations on the planet have. But he couldn't get that. Not even with a 'super-majority' in both the house and the senate! Because the lobbyists owned his 'super-majority', and paid them to turn real health care reform into this silly mess that you are now calling "Obamacare".