No? What part of the ACA was intended to upend the pharma industry? The ACA was specifically designed to work within the system as it existed in 2008/9.

If I recall, originally it was supposed to be more drastic in its changes in an attempt to introduce more efficiencies into the system. But then they realized that they could create a lot of jobs in healthcare (remember, we were smack in the middle of the recession) so they opted to do that instead. That’s not any kind of commentary as to whether their decision was good or bad but it does appear to have resulted in making the system less efficient in many ways.

Yes but I think we're nearing a point where the lobbyists won't be able to overcome millions of pissed off citizens who feel like they're getting screwed by an entire industry.