If the law works, then a decade from now, about 25 million people will be insured through Obamacare. About half of them will be insured through Medicaid. The other half will be insured through state insurance marketplaces with names like “Covered California” and “Health Access CT.” They’ll get this insurance because their minister will mention it to them or because their community health clinic will sign them up. Few of these people are likely to connect their coverage to that Obamacare thing they heard about a lot back in 2010.
[U]nder the hood, there is all sorts of government intervention going on—all sorts of new regulations about what insurance companies can do, how they must spend their money, what products they are allowed to offer through the exchanges. But that’s all going to become invisible to consumers over time.