Even with employer coverage and the expansion of Medicaid, many Americans would still not be covered if the ACA had not offered a new way to buy insurance individually. This new way is called a health insurance marketplace where private insurers compete for individuals business. This allows people to decide how much coverage they want as well as how much they want to pay for it. For example, choices range from cheaper, high deductible coverage, to more expensive coverage. Still, all plans cover a set of services, such as hospital visits, maternity care, prescription drugs, and mental healthcare.
As with Medicaid, not all states participate in insurance marketplaces, however the government provides their own in each state anyways. One larger advantage to buying ones own insurance is that the federal government provides most people with a tax credit to make insurance more affordable for low income families. These insurance marketplaces also enforce strict rules on insurance companies to ensure fare coverage for everyone. For example, insurance companies have to offer everyone insurance even if they are sick and are not be allowed to charge more for preexisting conditions. Men and women also pay the same price now, while prices for elderly people are less and younger people pay more. However, to keep costs down for younger people, they are now allowed to stay on their parent’s plans until twenty-six and buy low budget plans until they are thirty.
All these changes under the ACA has opened insurance up to more people, however it does not mean that insurance will ever be cheap. Most people who buy their own coverage end up paying less altogether with new health insurance tax credits but some people have to pay more, even though many of them gained better, and more, insurance coverage. Some people are still not able to afford insurance, or feel that it is not necessary. However there are special enrolment periods only during which one can buy insurance and also the Individual Mandate has made it so that if an individual is not insured at the time of injury, a penalty fine is due, although if the individual still cannot afford insurance, the government will waive the penalty. Overall, with the advent of the ACA, many more people have insurance coverage however the money to pay for all of it comes from taxes. The health industry is taxed more as well as the upper classes whose taxes almost directly fund Medicare. Also hospitals and insurance companies participating in Medicare are paid much less.
The ACA has allowed millions of uninsured Americans access to health insurance through the marketplace, which has helped insure coverage through new tax credits for lower income families and small businesses. The money for the new tax credits however has come primarily from high-earners like many in the upper classes. The most vocal anti-Affordable Care Act groups are those associated with big businesses as well as the top two and three percent of...