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Financial Impact and
Impact on the Number of Uninsured
as a result of the ongoing implementation of the
Affordable Care Act of 2010


About the law. The Patient Protection and Affordable Care Act (PPACA),
and its amendment Health Care and Education Reconciliation Act (HCERA),
were signed into law by President Obama in March 2010.

They are known collectively known as the “Affordable Care Act of 2010”
… and as the “March 2010 Law” at this website.





United States’ total spending for health care (NHE: National Health Expenditures) is projected by the government to continue to be out-of-control.


… $300 billion higher costs over 10 years than if no health reform law had been passed.
Individuals and families will be negatively impacted financially.

Tens of Millions Uninsured.


The law is expected to leave 23.1 million uninsured according to the government report, below.
The 23.1 million may be a minimum, because a very widely reported estimate is 30 to 40 million uninsured.

Total Spending for Health Care

From our perspective this status was established in three ways:
a government report of the numbers,
common sense logic, and
our own investigative report that documents the reasons
that spending will increase, based on the hundreds of sections of the law.

Government Report

Note: at least one other estimate documented a higher cost than the government’s report from CMS, but we feel that the difference is striking enough with the CMS economic evaluation.

Refer to the April 2010 report (pdf) by the Office of the Actuary (OACT) of the Center for Medicare and Medicaid Services (CMS).

Here are key elements of what Richard S. Foster, the Chief Actuary, reported to the U.S. Congress and President:

  • The increased cost will be over $300 billion over ten years. In other words, health care costs will increase, not decrease.
  • Not all costs are included in that estimate, as noted in multiple parts of the report, such as pages 1 and 16-17.
  • Based on the (partial) costs that are included, the cost of health care as a percent of the Gross Domestic Product (GDP) are projected to be higher for the new law than if Congress and President Obama had done nothing. As seen in Table 5, the increase in National Health Expenditures will be a higher % of GDP (21.0%) by 2019 than it would have been withoug the new law.
  • As per Page 3 of the report, 23.1 million Americans are expected to be uninsured in the year 2019.

Common Sense

Higher Taxes

  • Expansion of government means increasing our taxes due to the increased government spending. The following is a very small list of examples of how the March 2010 law is expanding and will expand government:
    • Medicaid is expanding to more people.
    • The Internal Revenue Service (IRS) is being expanded to manage the IRS-related parts of the new law.
    • A team(s) of government regulators will be needed to monitor and enforce the new regulations that apply to health insurance companies.

Higher Health Care Costs

An expansion of health insurance companies’ business via the new law (via mandated health insurance) means increasing our health insurance policy costs to us as individuals and families.Why? Because:

  • The demands of increased regulations will place pressure on health insurance companies to increase the charges and lower the benefits for Americans in order for the companies to maintain their profits. As a result, our out-of-pocket costs, such as premiums and co-pays and deductibles, will increase.
  • There are no strict controls of how much private health insurance companies can increase their customers’ costs related to their policies.
  • During 2010-2014 health insurance company lawyers and other professionals are studying the new law and making decisions about how they work within the framework of the new law in order to maximize their profits.


Our Special Investigation

Go here to see our report:
       “Investigative Report: March 2010 Law: Benefits and Burdens”

Additional Information

Out-of-Control. Graph of out-of-control spending in the United States among 30 countries.

Lost Jobs. As you look at the graph of out-of-control spending, think of the continued loss of jobs that the United States will experience as companies look for countries within which they can operate with lower costs for benefits for employees.

Examples Only. The information on this web page includes only a few examples of what will occur. It is not intended to be a complete description. We think that the above information is sufficient to cause alarm for any American, especially considering all aspects of the new law compared to Improved Medicare for All.

See Regulations for what happened to policy-holders in the state of New York where regulations were imposed on health insurance companies. The cost of health insurance for a family is astronomical!

The Uninsured. For information about the estimate of 30-40 million uninsured go to the December 20, 2010 PNHP Quote-of-the-Day in the archives.

We don’t need higher health care costs.
We need to slash costs with a health-care-for-all system.


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