The largest healthcare reform of the past 50 years, the Patient Protection and Affordable Care Act extended health insurance to those Americans who lack it. The healthcare spending of the US is the highest in the world, and Obama Administration addressed this problem by issuing the ACA in 2010. The program covered healthcare expenses for people who did not receive health insurance from employers and did not take any subsidies. Insurance companies were banned to deny health coverage to people with pre-existing health conditions.
Despite visible social benefits, Obamacare still remains a controversial issue. Republicans have opposed the law since Obama first introduced it in 2009. Since 2012, several legal obstacles limited functioning of the ACA. States were free to choose whether they would take Obamacare or not. According to the opponents of the act, the legislation imposed too much pressure on the insurance companies and clinics. The extension of healthcare subsidies also disturbed private businesses. Many employers argued against the provisions that bound them to provide birth control to their employees. The ACA also bound businesses with more than 50 full-time employees to provide their people with health insurance. On the other hand, people do not participate in Obamacare as actively as expected. Subsidies provided by the government are still not generous enough to involve Americans in buying health insurance.