Medicaid vs Obamacare

Medicaid is healthcare funded by a joint federal and state program and free for low income people. Medicaid has always covered those with pre-existing conditions. Medicaid did not cover single adults but Obamacare changed that and now in 35 states these people qualify. While they are counted as part of Obamacare they are in fact in Medicaid. Of the 23 million people in Obamacare 15 million have moved into Medicaid leaving 8 million actually covered by Obamacare. Those 15 million are people whose income is below the poverty level, $17,000 for single and $34,000 for family of four have free healthcare. The 8 million covered by Obamacare have incomes above the poverty level and receive partial subsidies. With income greater that 4 times the poverty level the subsidies stop. For a Silver Plan under Obamacare the average monthly cost is $400 and the subsidy would be about 60% of that or $240 leaving a monthly cost to the patient of $160. The problem is the deductible which is about $8,000 for a single and $16,000 for a family in 2020. While many can afford the monthly cost they generally do not use up enough to meet the deductible so they pay most of their medical cost out of pocket.