QUESTION = as someone from the UK, I have no idea why obamacare has been getting so much hate. explain. GENERATION = I didn't understand all the details in my response. The first line to understand is that it doesn't stop people from getting health insurance. It doesn't prevent people from getting health insurance. It just makes the process much more complicated, and might even speed up the process, making it more expensive for everyone involved. The Affordable Care Act insures that health insurance companies have to offer more services to everyone who pays the premiums. This doesn't stop people from getting health insurance because they can afford it. The government is making a government-run health insurance plan that targets people who don't have health insurance. It does a number of things, but the main goal is that it makes sure that health insurance companies have to offer better care than they did before, because people don't get health insurance because they have health insurance. The bill does one very good thing, in that it makes it easier for people to get health insurance, especially those without insurance. Insurers don't make money if they don't provide healthy insurance. The American healthcare system is designed to help people who can't afford health insurance; if we don't make better care for people with health insurance. RETRIEVAL #0 = HealthCare.gov---an estimated seven million Americans to obtain coverage during the first year after its launch; current estimates suggest that the combined figure is slightly above eight million. Section::::Development and history. President Barack Obama signed the Patient Protection and Affordable Care Act (PPACA) into law on March 23, 2010 in the East Room before a select audience of nearly 300. He stated that the health reform effort, designed after a long and acrimonious debate facing fierce opposition in the U.S. Congress to expand health insurance coverage, was based on "the core principle that everybody should have some basic security when it comes to their health care". The primary purpose of the PPACA was to increase coverage to the American people either through public or private insurance and control healthcare costs. The Congressional Budget Office(CBO) estimated that the PPACA would reduce the number of uninsured by 32 million increasing coverage for the non-elderly citizens from 83 to 94 per cent. Insurers were not allowed to deny insurance to applicants with pre-existing conditions. The Sunlight Foundation has stated that at least forty-seven private company contractors have been involved with the PPACA in some capacity as of fall 2013, with the measure causing a wide variety of policy changes. Journalists writing for "The New York Times" have called the PPACA "the most RETRIEVAL #1 = HealthCare.gov---Leader Nancy Pelosi, a Democratic Representative from California, commented about the controversy that she feels optimistic about things being fixed, saying "I have faith in technology" as well as "while there are glitches, there are solutions, as well." Democrats in Congress have accused Republican critics of HealthCare.gov of acting in bad faith. "We want the process to improve, but we're not interested in torpedoing the process," said Representative Xavier Becerra, another Democrat from California and chairman of the House Democratic Caucus. Republican Senator Marco Rubio has drafted legislation as a result of the controversy to delay the individual mandate. The proposed legislation has drawn scattered Democratic support. Professor and author Victor Lombardi commented to "Bloomberg Businessweek" that the website's issues "don’t sound catastrophic", and he added that history "may judge this project as the catalyst that revolutionized the United States health-care system" such that "no one will remember a few hiccups at launch." Although the law that decreed the creation of HealthCare.gov has been divisive and political speculation has taken place, polling done by the Gallup organization around the time of the difficult roll-out still have found that a majority of Americans support keeping at least some aspects of Obamacare. Specifically, just 29% of the public favoured a complete RETRIEVAL #2 = List of countries with universal health care---an adverse health condition, or test result indicating that one may be imminent. The law prohibits insurers from capping their liability for a person's health care needs, a move expected to reduce medically induced bankruptcy. As of October 7, 2016, the U.S. uninsured rate fell to 10.9% from the 14.6% recorded when President Obama came into office. During the debates about proposed Obamacare, more and more Americans dropped their existing insurance and the uninsured rate peaked at 17.1% in the fourth quarter of 2013, just before the Affordable Care Act, started its exchanges and made new plans available. 85.4% of Americans had insurance when Obama entered office; 89.1% had insurance by the time he left office. The Congressional Budget Office and related government agencies scored the cost of a universal health care system several times since 1991, and have uniformly predicted cost savings, partly from the elimination of insurance company overhead costs. In 2009, a universal health care proposal was pending in Congress, the United States National Health Care Act (H.R. 676, formerly the "Medicare for All Act"). The Congressional Budget Office (CBO) estimated that the bill would reduce the number of nonelderly people who are uninsured by about 32 million, leaving about 23 million nonelderly residents RETRIEVAL #3 = Health insurance---proportion of the British public opposing such involvement. According to the World Health Organization, government funding covered 86% of overall health care expenditures in the UK as of 2004, with private expenditures covering the remaining 14%. Nearly one in three patients receiving NHS hospital treatment is privately insured and could have the cost paid for by their insurer. Some private schemes provide cash payments to patients who opt for NHS treatment, to deter use of private facilities. A report, by private health analysts Laing and Buisson, in November 2012, estimated that more than 250,000 operations were performed on patients with private medical insurance each year at a cost of £359 million. In addition, £609 million was spent on emergency medical or surgical treatment. Private medical insurance does not normally cover emergency treatment but subsequent recovery could be paid for if the patient were moved into a private patient unit. Section::::Comparisons.:United States. Short Term Health Insurance On the 1st of August, 2018 the DHHS issued a final rule which made federal changes to Short-Term, Limited-Duration Health Insurance (STLDI) which lengthened the maximum contract term to 364 days and renewal for up to 36 months. This new rule, in combination with the expiration of the penalty for the Individual Mandate of the Affordable Care Act, has been the subject of independent analysis. The United States health care RETRIEVAL #4 = Implementation history of the Patient Protection and Affordable Care Act---Implementation history of the Patient Protection and Affordable Care Act The Patient Protection and Affordable Care Act, often shortened to the Affordable Care Act (ACA) or nicknamed Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965. Once the law was signed, provisions began taking effect, in a process that continued for years. Some provisions never took effect, while others were deferred for various periods. Section::::Existing individual health plans. Plans purchased after the date of enactment, March 23, 2010, or old plans that changed in specified ways would eventually have to be replaced by ACA-compliant plans. At various times during and after the ACA debate, Obama stated that "if you like your health care plan, you'll be able to keep your health care plan". However, in fall 2013 millions of Americans with individual policies received notices that their insurance plans were terminated, and several million more risked seeing their current plans cancelled. Obama' RETRIEVAL #5 = History of the National Health Service (England)---in stroke. At the same time there was an increase in wages of 24% and an increase of 10% in the number of staff and increases in the use of equipment and supplies. As a whole NHS output increased by 47% and inputs by 31%, an increase in productivity of 12.86% during the period, or 1.37% per year. Section::::Coalition and Cameron government reforms. The return of a Conservative-led government in 2010 coincided with another deterioration in industrial relations. The introduction of further private sector involvement in the Health and Social Care Act 2012 provoked mass demonstrations led by health workers, and some NHS workers also participated in a national strike over pay restraint in 2014. 2016 also saw major industrial action by junior doctors, protesting at the imposition of a new contract aiming to extend weekend working. In 2019, doctors and MPs warned that the ongoing privatisation of certain NHS England cancer screening services would lead to patient harm. In July 2019, it was announced that the NHS would be partnering with the Amazon Alexa to offer health advice directly from the NHS website. Section::::See also. BULLET::::- History of the National Health Service BULLET::::- List of hospitals in England BULLET:::: RETRIEVAL #6 = Electronic health records in England---Electronic health records in England In 2005 the National Health Service (NHS) in the United Kingdom began deployment of Electronic health record systems in NHS Trusts. The goal was to have all patients with a centralized electronic health record by 2010. Lorenzo patient record systems were adopted in a number of NHS trusts While many hospitals acquired electronic patient records systems in this process, there was no national healthcare information exchange. Ultimately, the program was dismantled after a cost to the UK taxpayer was over $24 Billion (£12 billion), and is considered one of the most expensive healthcare IT failures. The UK Government is now considered open-source healthcare platform from the United States Veterans Affairs following on the success of the VistA EHR deployment in Jordan. In November 2013 NHS England launched a clinical digital maturity index to measure the digital maturity of NHS providers but 40% of NHS managers surveyed by the Health Service Journal did not know their ranking, and the same proportion said improving their ranking was of low or very low priority. Electronic palliative care coordination systems have been developed by Marie Curie Cancer Care and the Royal College of General Practitioners which mean that terminally ill patients no longer have to explain their circumstances afresh to every new professional they meet and are less likely to be inappropriat