While the Affordable Care Act has been denounced by its opponents as a radical transformation of the U.S. health care system, the landmark health law largely mirrored existing programs.
In addition to expanding Medicaid, the ACA set up the Obamacare marketplace, where people can purchase subsidized private health plans, just as seniors have been able to do through the Medicare Advantage marketplace for years.
However, the Medicare Advantage marketplace has been far less controversial and has functioned far better than its ACA counterpart. Premiums have not grown as quickly and participation by insurers has been stabler.
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