You shouldn't , it's was meant to help the patients, not the doctors per se. I understand what you are saying, and I don't disagree, non-compliance and poor lifestyle choices are the etiology of most concerns. I don't see your rationale on how it is doomed to failure? I don't think anyone can quite predict it's outcome yet as it is a novel piece of American history. I would say that in theory it can work, that much is obvious, will it in practice remains to be seen.
The theory was poorly thought out. It is a 2700 page playbook on socializing medicine with the ultimate goal for a one payer US medical health system. If it were such a phenomenal plan, Democratic congressman and their staffers would not be so repulsed by the idea that they would be beholden to the ACA. Maybe, the best way to manage the country is for all Congressional leaders to follow the laws they push on the American people. Why is it that Congressional leaders and their staffers get 5000 dollars or more toward their "Cadillac" insurance plans, but honest hard working Americans are seeing their premiums rise in order to pay for ACA (i.e. Obamacare).
Why didn't somebody read the damn bill before the Democrats in their rush to judgement passed it. Mark my words, Obama will drive this country in financial ruin. Not to mention the fact that there will be a tremendous physician shortage in the coming years as the best and brightest are bypassing med school to go into private business. One thing that ticks me off about the Democrats in general is that responsibility for ones actions is never espoused. Instead, blame the rich elite, which is kind of funny because the Democratic party as it is now is rich, arrogant elites caring for their dumber, less fortunate brethren....i.e. house negro.
Do some research and you will see that blacks, who voted for Obama 99 out of a 100 practically in the last election, are worse off financially today than under George Bush. It is shocking.