The new act
1) Removes preexisting condition restrictions
2) Removes lifetime maximums
3) Subsidizes low income buyers
4) Caps out of pocket maximum at $6350
5) Restricts rating variables to age, location, and smoker
6) Expands Medicare
7) Sets a maximum premium on unhealthy people
8) restricts rate increases
9) Assume healthcare trends will be benign
The ACA does a great job of expanding coverage. However when you try to quantify what the real impact of the cost will be and how it will be paid for, you get a lot of ers and ums and talk about tanning bed tax as well as a promise of some tough choices that will have to me made etc. There are a thousand contradictory reports on the actual effects. One says rates will go down, the next says quadruple. And they are all cherry picking data to serve the D or R agenda.
Politicians are great at kicking the can down the road when it comes to actually paying for stuff.
The fact is you can't do all the coverage expansions above and have the money magically come from outerspace. The cost of insurance is going to go up and has the potential to skyrocket in the next decade adding potentially trillions to our already dangerous deficit. And eventually income tax rates will go up across the board to pay for it.
Morally it is great that we don't want people to not have health insurance. But don't kid yourself that this will not be a potentially devastating act in the long run.