Less information -> more fairness. The bleak future isn't there when it does not affect you but for people with pre-existing conditions (and that's a fair number) it just got a little bleaker. (Because having some life-long health issue is already bleak enough by my reckoning and such people should be aided rather than hindered in having an otherwise as normal life as possible. It's a lottery, no point in penalizing the losers even further.)

Yes, that's what I meant. The medium term trajectory has been towards a fairer system. A bill passing out of a committee now doesn't guarantee things will be worse in 2030.

Even if the ACA is completely repealed it's hard to say where things will be in 8 years, never mind the forever.

That's true, but in the intermediary it will make peoples lives worse, possibly much worse.