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The US pays almost DOUBLE per capita for healthcare than any other country. This is BEFORE you consider what we pay for our insurance.

And people going bankrupt/not paying their bills is the least of our worries. There are so many factors at play that drive costs up. And that isn't in the top 5.

To answer your questions.

1. Insure most of American citizens. People that get fucked by being born with congenital diseases will be able to get insured. Elderly don't get the brunt of insurances premiums. Theres quite a few really.
2. Maybe
3. Higher premiums. Possibly higher government spending. Now that people are "forced" to obtain insurance many people now realize they are covered by medicare. No joke. I've seen it. (I'm an ARNP). It may lead to an increase of family medicine practices as now people can actually go see a doctor instead of using the ER as one. This law is so complicated... it's so hard to tell. It's pure speculation right now.
4. I voted for Obama, but this is a band-aid on a gunshot wound.