Obamacare was never going to provide every American with healthcare. It gave the government no mechanism to control the prices of drugs and medical services (which we all know are way too high), left much of the law’s implementation up to the states (many states chose not to expand their Medicaid programs, which helped millions of people get coverage in states that did) and kept private health insurers as the healthcare administrators, leaving them largely free to increase premiums at will. Also, some insurance companies are leaving markets due to high costs (their customer pool is overall sicker because many healthier people are opting to go without insurance), decreasing competition or leaving people with no options at all in some counties. However, Obamacare has made it easier for people with pre-existing conditions get health insurance, allowed kids to stay on their parents' plans until age 26 and helped 20.4 million people get health insurance since its implementation in 2010.