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at the same time, have middle class paying a good heap more? is that still a success if you have so many in the middle class the president wants to prop up, getting hit hard by health care costs? i think what we have now is we have a shower of anecdotes and it s hard to sort them out. it s not just lower income people who benefit from the expansions in the aca. if you re a family of four and you have an income up to $95,000, you are eligible for subsidies. i think the important thing which i don t think people quite understand because of all of the controversy around the implementation difficulties is we are approaching a fundamental departure point on january 1st. after january 1st, health insurance in the united states undergoes probably the most dramatic change in the history of health insurance in the xh s united states. no more ability for insurance companies to des krim nat based upon medical status or gender. about 5 million americans now we