Obamacare was written by and for the insurance companies. United Healthcare dispatched lobbyists and lawyers onto the Senate staff of Max Baucus to write the bill that had the backing of the Obama White House. The bill diverts hundreds of billions of dollars that previously went as payments to doctors and hospitals directly into the pockets of the big private insurance companies.
Whatsmore, under Sections 1341 and 1342 of the Affordable Care Act, the insurance companies are guaranteed their projected profits. If there are shortfalls in their profits due to changes or failures in the Obamacare bill, taxpayers have guaranteed 80 percent payouts to the insurance companies. Now that there has been a delay in deadlines for small businesses to comply with ACA, now that people with previous individual insurance policies have been allowed to keep those policies ("if you like your previous policy you can keep it") and now that young healthy people are going to be able to buy cheap catastrophic care insurance at a fraction of the costs of ACA-compliance policies, the insurance companies are going to see their projected profits shrink.
Look what happens when the public learns that they are committed to another bailout! Furthermore, even the New York Times has documented that more than 9 million Americans will be stuck in the "gap" between Medicaid and affordable policies. If they can't pay the premiums, they can't get the policies offered on the exchanges, even if they are slated to have the government subsidize their policies. Of the first 1.6 million people who successfully navigated the website, 1.4 million were automatically signed up for Medicaid due to low incomes. But many people are finding that doctors are not taking Medicaid patients anymore because the cuts in payouts for Medicaid are so severe that they can't afford it. This is a disaster that will be playing out more and more in the coming months. Coming out of World War II and the experience of the military, Congress passed the Hill Burton Act, which was on the books until the mid-1970s when the for-profit HMOs were legalized. Under Hill Burton, there were regular surveys of America's medical needs and there were mandatory amounts of doctors, specialists, hospital beds, etc. per geographic area. A recent report indicated that if we had a Medicare for all single-payer program, $400 billion in overhead costs would be saved in year one. But the Obama White House told Congress that single-payer was off the table and that the system would center on for-profit insurance companies. This is yet one more example of the Obama Administration's slavish loyalty to the big Wall Street banks and insurance companies that paid for his two election campaigns.