I think it will all work out for most people most of the time in the end..there will be huge glitches and people will fall through the cracks but in the end more people will have access to medical care...this should make most taxpayers really glad because it should minimize family tragedies that require helping out relatives when you want to but really can't afford it. I have a sister really struggling right now and she is now on it and has not had a good plan for some time. it is a relief to me because i dont have money to spare right now if she should need much medical care.