After a troubled rollout and despite
widespread unpopularity, President Barack Obama's 2010 healthcare law
is forging full-steam ahead.
The Patient Protection and Affordable
Care Act, known as Obamacare, is the largest overhaul of the US
healthcare system since the 1960s.
What does the law do?
Its
aim is simple: to extend health insurance coverage to some of
the
estimated 15% of the US population who lack it. Those people receive no
coverage from their employers and are not covered by US health
programmes for the poor and the elderly.
To
achieve this, the law requires all Americans to have health insurance,
but offers subsidies to make coverage more affordable and aims to reduce
the cost of insurance by bringing younger, healthier people into the
health insurance system.
It also
requires businesses with more than 50 full-time employees to offer
health coverage, although this provision was delayed until 2015 to allow
more time for compliance.
The law
creates marketplaces - with websites akin to online travel and shopping
sites - where individuals can compare prices as they shop for coverage.
In
addition, the law bans insurance companies from denying health coverage
to people with pre-existing health conditions, allows young people to
remain on their parents' plans until age 26, and expands eligibility for
the government-run Medicaid health programme for the poor.
The law aims eventually to slow the growth of US healthcare spending, which is the highest in the world.
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