The Affordable Care Act


  • Also known as “Obamacare”, the Affordable Care Act (ACA) is a definitive part of Obama’s legacy.
  • ACA is a health insurance initiative with a goal to bring affordable health insurance to all Americans.
  • ACA mandates that every American has to be covered by law.


Healthcare is one of the major social systems that nations around the globe spend money on. The Affordable Care Act attempted to change the US healthcare system for the better. It addressed two major issues: the millions (44 million in 2008) of people without coverage, and the high costs that American families pay in exchange for medical care. The ACA took a step to try and reconstruct the healthcare system that, prior to, favored those in the upper tiers of society. Healthcare is arguably the only service that people will eventually have to use (aside from maybe education). When uninsured patients visit the emergency room, it places a financial burden on nonprofit hospitals.


    • Coverage:  It requires insurance companies to cover ten essential illnesses
    • Accepting:  ACA dictates that insource companies cannot reject someone based off of a pre-existing condition
    • Security:  Children can stay on their parents’ plan up to age 26
    • Support:  Businesses with over 50 employees must provide health insurance, and they will receive tax benefits to alleviate the cost of providing coverage
    • Scope:  It covers millions and make preventive care free

    • Penalties:  ACA taxes those who do not purchase health insurance. 4 million people elected to pay the tax
    • Costly:  The replacement plans for the people who lost their coverage could be expensive
    • Misleading:  Many people were not able to keep their doctors and plans
    • Excessive:  Pharmaceutical companies paid an extra $85 billion in fees between 2013-2023. These fees will be used to close the doughnut hole, a loophole found in Medicare Part D
    • Increase: People can only deduct medical expenses that exceed 10% of their income (previously 7.5%)


  • President Trump and Republican legislators have vowed to repeal and replace Obamacare.
  • New polls say that support for Obamacare is at an all time high.


  • The US has by far the highest military budget, so it is hard to mimic healthcare systems that many Scandinavian countries have.
  • Some Americans get the best medical coverage in the world, while some get none at all.
  • Healthcare costs in the United States are amongst the highest in the world (over $10,000 per person).