Elimination of the "pre-existing condition" insurance exclusions, and allowing children to remain on their parents' insurance policies to age 26 were positive changes. However, as a practicing physician working with patients every day, Obamacare was a complete failure in every other way. Our physicians lost their catastrophic health insurance. Our employee insurance plan more than doubled in cost. Patient deductibles went way up, and patient co-pays were higher than what we had been previously charging. I support a free market based alternative with Medicare dollars deposited into personal HSA accounts, under your control, that you could pass-on to your heirs.