Has the Affordable Care Act helped individuals or made it more difficult for some to pay their healthcare premiums?

Asked by: Jeanie Dietrich  |  Last update: September 14, 2025
Score: 4.5/5 (49 votes)

The ACA has generally been associated with significant improvements in access and affordability and increases in outpatient utilization among low-income populations, but changes in inpatient utilization and health outcomes have been less conclusive.

How did the Affordable Care Act affect individuals?

It did so by expanding Medicaid to people with incomes up to 138% of the federal poverty level (the poverty level in the continental U.S. is $15,060 for a single individual in 2024); creating new health insurance exchange markets through which individuals can purchase coverage and receive financial help to afford ...

How has the Affordable Care Act affected healthcare?

The ACA's coverage expansions drove a precipitous decline in the uninsured rate, which fell and eliminating prior barriers in the private insurance market for people with pre-existing health conditions, the ACA provided new options for many people who lack access to affordable employer-sponsored health benefits.

What is the biggest problem with the Affordable Care Act?

Impact on Individual Insurance

It was also known that consumers would face a very different health insurance world under the ACA, with some people seeing their premiums go down and some seeing them go up, and the majority of Americans seeing higher deductibles, higher copays, and a smaller pool of providers.

Did the Affordable Care Act eliminate premium payments?

After the Covid-19 pandemic hit in 2020, federal legislation increased subsidies in the ACA marketplaces, supplanting California's state premium subsidies, first under the American Rescue Plan Act (2021), and then under the IRA (2022).

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Why was the Affordable Care Act opposed?

Despite these positive changes, a near majority of Americans still oppose the ACA, even though they approve of most of its features. They oppose the mandate that all Americans must have health insurance (the individual mandate), and they oppose a government role in health care.

What happens if I don't pay my Obamacare premiums?

If you don't pay all owed premiums, you may lose your coverage dating back to the first month you missed the premium payment. You may also have to wait to get health coverage. The 3-month premium payment grace period starts the first month you didn't pay, even if you make payments for the following months.

What are the pros and cons of the Affordable Care Act?

The pros of the ACA include prohibiting insurance companies from denying coverage based on health history and providing subsidies to reduce premiums and out-of-pocket costs. The cons of the ACA include small business challenges and limited provider options in some regions.

What are the three biggest issues in healthcare today?

So, let's hop on a journey to explore the 7 biggest challenges of the healthcare industry!
  • Rising Costs of Healthcare Services.
  • Financial Challenges for Providers.
  • Shortage of Healthcare Professionals.
  • The Need for Improved Mental Health Systems.
  • Increased Demand for Personalized Care.
  • Big Data and Cybersecurity Issues.

Who benefits most from the Affordable Care Act?

The biggest winners from the law include people between the ages of 18 and 34; blacks; Hispanics; and people who live in rural areas.

How does the Affordable Care Act affect the economy?

The ACA's deficit-reducing effects will grow over time. CBO estimates that over the decade from 2023 through 2032, the ACA will reduce the deficit by an average of 0.5 percent of GDP each year, corresponding to total deficit reduction of nearly $1.6 trillion over that ten-year period.

Why is healthcare so expensive?

There are many factors that contribute to the high cost of healthcare in the country including wasteful systems, rising drug costs, medical professional salaries, profit-driven healthcare centers, types of medical practices, and health-related pricing.

What is the Affordable Care Act in simple terms?

The Affordable Care Act (ACA) is a comprehensive reform law, enacted in 2010, that increases health insurance coverage for the uninsured and implements reforms to the health insurance market. This includes many provisions that are consistent with AMA policy and holds the potential for a better health care system.

Has the Affordable Care Act been successful?

The ACA continues to be a successful, popular, and important federal program to millions of people and their families.

How did the Affordable Care Act impact healthcare in this country?

Since 2010, The ACA has given more than 40 million Americans access to health care, expanded Medicaid to 40 states to cover 21 million low-income adults under 65, and protected as many as 133 million (Opens in a new tab) with pre-existing conditions from losing their health insurance.

Why does the Affordable Care Act matter?

The ACA supports public health prevention efforts. It created the Prevention and Public Health Fund, which has paid for public health efforts across the country. The ACA requires insurance policies to cover essential health benefits that can help prevent serious, costly conditions.

How many people can't afford healthcare in the US?

Overall, 16.9% of Americans report at least 1 financial barrier. Among those with private insurance, the poor (28.4%), near poor (24.3%), and those with functional impairments (22.9%) were more likely to report avoiding care due to cost.

What is the biggest ethical issue in healthcare today?

Ethical Issues in Healthcare
  1. Patient Privacy and Confidentiality. The protection of private patient information is one of the most important ethical and legal issues in the field of healthcare. ...
  2. Transmission of Diseases. ...
  3. Relationships. ...
  4. End-of-Life Issues.

Who are the big 3 in healthcare?

The “Big 3” healthcare industries referred to here are Pharma, Diagnostics, and Medical Devices.

What are the major problems with the Affordable Care Act?

Press Releases
  • Obamacare has increased the cost of health care and health insurance. ...
  • Obamacare increases Americans' reliance on the federal government. … ...
  • On a per person basis, Obamacare is far more expensive than anticipated for taxpayers. ...
  • Obamacare's “expansion” is due in large part to improper Medicaid enrollments.

What was one consequence of the Affordable Care Act?

The ACA has generally been associated with significant improvements in access and affordability and increases in outpatient utilization among low-income populations, but changes in inpatient utilization and health outcomes have been less conclusive.

Who does not benefit from the Affordable Care Act?

Individuals with incomes exceeding 400 percent of the federal poverty level (FPL; $46,680 for an individual, $95,400 for a family of four) are ineligible for either Medicaid or Marketplace tax credits. This group represents 16 percent of the ineligible, uninsured population. 2.

Who actually pays for Obamacare?

The health reform law known as Obamacare (officially the Affordable Care Act) is paid for with a combination of cuts in government spending and new revenue from several sources, including tax increases.

Is Obamacare mandatory?

Residents of California, Massachusetts, New Jersey, Rhode Island, and Washington, D.C. are required to buy health insurance or face a penalty, unless they have an exemption. Maryland and Vermont require residents to report their health insurance status but do not have a financial penalty for being uninsured.

Can you be turned down for Obamacare?

No insurance plan can reject you, charge you more, or refuse to pay for essential health benefits for any condition you had before your coverage started. Once you're enrolled, the plan can't deny you coverage or raise your rates based only on your health.