Well if your income is too low you'll just end up on Medicaid where people are driving two hours to see doctors (if your income is low enough you don't even have a choice to benefit from subsidies on the exchanges - it's just Medicaid for you). But it's better than nothing? That may be. But ANYONE WITH AN OUNCE of sanity is going to choose the golden handcuffs and keep the employer provided medical care instead of that! I mean come now. Where's your revolution now? Not possible in a system where the main purpose was to satisfy the existing entities like the insurance companies, the hospitals, pharma. But Medicaid is what socialized medicine would look like? Uh I hope not, it's the lowest common denominator. I would hope it would be more Medicare. And that it wouldn't claw back from your estate if you are over 55 and use it.Gee, now that Obamacare is here, I can't WAIT til I get sick so I can finally abuse the system and live off of you healthy taxpayers. Life is good!