and is a step in the right direction, it's not a remedy to America's health care crisis.
It's not universal coverage; estimates are that at least 26 million people will still be uninsured. A single-payer, Medicare-for-all system would provide truly universal, comprehensive coverage. Research shows the savings in administrative costs alone under a single-payer plan would amount to $400 billion annually, enough to provide quality coverage to everyone with no overall increase in health spending.
It doesn't make health care more affordable to Americans who already have insurance because it does nothing to control the increases in premiums each year, and because of high co-pays and gaps in coverage, people with insurance can still be open to financial ruin in the event of serious illness.
It won't control costs. Why? Because ACA/Obamacare perpetuates the domination the private insurance industry has. An industry more interested in profit by siphoning off billions in overhead and demanding unending paperwork from doctors and hospitals in the fight to decrease health care payments and increase their bottom line (profits), than an industry interested in health care. Doctors and hospitals used to be in the health care business, now they work for an industry with profit as the main motive for being in business.
I know that any President other than President Obama would destroy the gains made with this act, and there will be other problems to tackle after his re-election, but I'm still disappointed that the insurance industry came out the biggest winner - not health care.