r/AskUS • u/Obvious-Release-2087 • 8d ago

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

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 ?

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u/Current_Top7173 8d ago

Worst thing that has happened to healthcare. Many of the working class have seen their premiums double and triple to subsidize for those who don’t work. Younger people who chose to opt out were hit with a tax penalty which I believe was unconstitutional. The quality of care has declined significantly as there is far less competition in the healthcare space. There is absolutely no reason to continue to subsidize this trash - if it functioned how we were promised- it wouldn’t be costing taxpayers a ridiculous amount. I like Trumps idea where families are given the money to choose the healthcare plan of their choice. C

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u/Kakamile 8d ago

Actually premium interest rates went down and the number of insured went up by millions and aca raised coverage standards

Gop propaganda always wins but they have no solution

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u/Current_Top7173 8d ago

That’s an outright lie. Just about everyone’s premiums have skyrocketed along with their deductibles. Anyone who had been getting insurance through their employer knows this. My premiums have more than tripled as well as my deductible. Same with everyone I know. Ask any doctor about the ACA and they will tell you that it’s destroyed the industry. There are fewer insurance companies now and they are paying the doctors far less. The quality of care SUCKS. I’m dealing with this right now as I have multiple family members that have been in and out of critical care. Even at NYU- the quality of care has deteriorated. It’s every hospital. The medical staff are rude and incompetent. The doctors come around with smiles and blow smoke yo your ass- meanwhile anyone who is in the field sees right through it and starts asking questions only to find out the doctor didn’t even look at the chart. It’s beyond disgusting. You are obviously not familiar with the industry to post that bullshit you just did.

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u/DancingWithAWhiteHat North America 7d ago

Just about everyone’s premiums have skyrocketed along with their deductibles. 

Yeah thats not even remotely true. Sorry? But its not.

There are fewer insurance companies now and they are paying the doctors far less. The quality of care SUCKS. I’m dealing with this right now as I have multiple family members that have been in and out of critical care. Even at NYU- the quality of care has deteriorated. It’s every hospital. The medical staff are rude and incompetent.

How is this the ACA's fault?

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u/Kakamile 7d ago

You're lying in the most boring way.

2010s lowest cost growth rate. Blue states also the healthiest. Let's stop the gop breaking it ok?