The ACA will never be fully implemented, for a number of reasons:
1) The administration are granting exceptions all over the place.
2) States will absolutely gut this bill. Many states have already rejected health care exchanges and Medicaid expansion. South Carolina and Georgia look like the first two states to nullify the bill... if they do, many more states will join, and enforcement of the law will be impossible.
3) The law was never capable of being fully implemented in the first place. 11,000 pages of regulations is simply not realistically enforceable.
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As for your questions:
1) Main goal was to satisfy the lobbyists, and then to dress it up in a way that the people would love it. Same with just about any law ever.
2) Partially. The bill certainly satisfied the lobbyists, but the political class is having a hard time getting the population to swallow this pill.
3) It will reduce the quantity and quality of healthcare in the United States, while forcing up average costs for consumers. Millions will be forced down into part-time work, and millions more will go unemployed completely or lose their employment health coverage.
Another truly unintended consequence of this bill is that thanks to that Supreme Court ruling, the Congress now has new powers that it never knew it had before: the ability to tax the absence of an event.
4) The state is the farmer, and we are the cows.
ACA is just another part of Obama's grand plan to create more Libertarians than Ron Paul did.
