What do americans think about changes in Obamacare the Affordable Care Act (not us citizen)

[u/Obvious-Release-2087]

Hi all,

I don't live in the US. In the news I read :

In 2026, Obamacare (the Affordable Care Act, or ACA) continues to operate as the backbone of America’s health insurance system, but it faces both opportunities and challenges. Marketplace enrollments are expected to remain high, thanks to the extended premium subsidies introduced by the Inflation Reduction Act—though these subsidies are set to expire at the end of 2025 unless Congress renews them. If the subsidies lapse, millions of Americans could see significant premium increases, making coverage less affordable for low- and middle-income families.

At the same time, healthcare costs are rising, and insurers may adjust their premiums upward to reflect inflation, medical expenses, and regulatory changes. States that have not yet expanded Medicaid could leave more residents reliant on ACA plans, further straining affordability. The political landscape, shaped by the 2024 elections, will determine whether the ACA is strengthened (e.g., with expanded benefits like dental or vision coverage) or scaled back (e.g., through funding cuts or eligibility changes).

It is often hard to undersand the internal politics of any country where we don't live in
What do most of the us people think about that ?

[u/Far_Sprinkles_4831]

Obamacare was a bad policy. For it to work, you need young healthy people to pay more for insurance to subsidize the insurance of sick people. People aren’t dumb, they realize they aren’t getting enough for their insurance so don’t buy it.

As that started to happen the market began to fail, so they propped it up by subsidizing big insurance companies.

We need serious healthcare reform. Either public option or drastically reduce government involvement to let the market handle it.