The new ACA law creates 68 grant programs, 47 bureaucratic entities, 29 demonstration or pilot programs, 6 regulatory systems, 6 compliance standards and 2 entitlements. The Federal government will have drastically expanded with this law -- and such expansion is permanent because nothing is ever "fixed" by our incompetent and dishonest government. See the chart below.
The ACA law has nearly doubled medical insurance premiums in this past year alone for most of Americans. My individual insurance premiums have gone up 5 fold since Obama's inauguration.
The law has put a cloud over business due to cost and regulation uncertainty. It has hurt the biggest driver of new employment which is small business (and small business formations). No wonder the country still has 4 million fewer jobs than in 2008 after 5 years of "recovery." Millions are languishing in un-employment or under-employment due to this law.
For all of this, we have managed to insure only 1.4% of the uninsured or about 1/2 million of the 35 million uninsured?? See my blog regarding the exaggeration of ACA's "success." I'm sure 90% or more of the newly insured will be expecting subsidies from the Federal gov't. But it would have been infinitely less disruptive to send vouchers to uninsured persons to buy their own policies!
But the 1/2 million newly insured paid a huge price premium but are getting care that is eerily similar to the substandard care that you'd expect from Medicaid. They are facing limited numbers of doctors, drugs and hospitals -- meaning that they probably won't be able to keep their doctor. The best healthcare facilities are not covered by ACA. For this we blew up our healthcare insurance system?