Define "worse", I guess. Health care outcomes in the US are demonstrably worse than our peer nations and at a much higher cost today.

Yes, as an upper-middle-class salaryman, my care is above average. If I don't like what Uncle Sam provides, I can buy additional coverage/care. No change for me.

For everybody with worse coverage and less income? They're already receiving worse care than most of Western Europe.

My personal point of reference: Scottish immigrant, with substatial family in Scotland, Ireland, and Australia. Both white collar and working class.