Always ends up being idiocracy:

…the elites had to wait for the man of their dreams.

When they found him, he was a rare breed: a genuine African American (his father was Kenyan) who thought and talked like the academics on both sides of his family, a product of the faculty lounge who dabbled in urban/race politics, a man who could speak to both ends of the liberals’ up-and-down coalition, and a would-be transformer of our public life whose quiet voice and low-key demeanor conveyed “moderation” in all that he spoke and did. Best of all, he was the person whom the two branches of the liberal kingdom—the academics and journalists—wanted to be, a man who shared their sensibilities and their views of the good and the beautiful. This was the chance of a lifetime to shape the world to their measure. He and they were the ones they were waiting for, and with him, they longed for transcendent achievements. But in the event they were undone by the three things Siegel had pegged as their signature weaknesses: They had too much belief in the brilliance of experts, they were completely dismissive of public opinion, and they had a contempt for the great middle class.

…Obama had reassured them again and again that if they liked their plans and their doctors, they would be able to keep them, but this proved inaccurate. For the first time in American history the cost of a massive social program would be concentrated on a small slice of the populace that was not rich, and in some instances, could not afford it. Those costs came in many different dimensions: Parents found they could not take sick children to the same hospitals they had used before. People with complex chronic conditions found that the teams of doctors who had worked together to treat them had been broken up. For the people who had been insured through the individual market the elites had little compassion. Cancer patients who took their complaints to the press (and to the Republicans) were “fact checked” and then viciously attacked by the Democrats, among them Harry Reid, who called them all liars. “We have to pass the bill, so that you can find out what’s in it,” Nancy Pelosi infamously said. People had finally found out and they were furious.

In February 2010, in the midst of the row over Obamacare’s passage, 80 highly credentialed experts in health care, graduates of and teachers in the best schools in the country, sent an open letter to the president and the leaders of Congress insisting the bill be passed. The Affordable Care Act, they maintained, would “cover more than 30 million people who would otherwise have gone uninsured. .  .  . Provide financial help to make coverage for millions of working families. .  .  . Strengthen competition and oversight of private insurance. .  .  . Provide unprecedented protection for Americans living with chronic illness and disabilities. .  .  . Make significant investments in community health centers, prevention, and wellness. .  .  . Increase financial support to states to finance expanded Medicaid insurance coverage, eliminate the Medicare prescription drug donut hole .  .  . provide a platform to improve the quality of the health care system .  .  . [and] reduce the federal budget deficit over the next ten years and beyond.”

They were not alone. “Historians will see this health care bill as a masterfully crafted piece of legislation,” wrote Jonathan Chait in the magazine Herbert Croly cofounded. “The new law untangles the dysfunctionalities of the individual insurance market while fulfilling the political imperative of leaving the employer-provided system in place. .  .  . They put into place numerous reforms to force efficiency into a wasteful system. They found hundreds of billions of dollars in payment offsets, a monumental task in itself. And they will bring economic and financial security to tens of millions of Americans who would otherwise risk seeing their lives torn apart.”

It did none of these things. It did not fix the dysfunctions of the individual market; it destroyed it. It did not save money; it squandered billions. It did not bring peace and security to tens of millions of people; it took it away from them. The best and the brightest had made their predictions. They were wrong.

Hayek wrote a book or two about this sort of thing.