Regardless where you stand on the issue, costs seem to be coming down and in a big way.  In addition, more coverage for more people equals less emergency room visits, which drives up the costs of healthcare drastically. And since healthcare is the number one driver of national debt, this is a huge win for those that want to see the national debt reduced.  Sure, it's not the single payer I would have preferred.  (You have to have competent people in Congress to actually do something that smart) But, it is certainly better than the status quo. Also, the fact that millions of people who couldn't afford insurance or couldn't get it due to preexisting conditions, will now be covered, is a HUGE win for humanity.  Healthcare is a basic human necessity.  Like food, shelter, air and water.