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The Patient Protection and Affordable Care Act, commonly known as the Affordable Care Act (ACA) or Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare system's most significant regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965.
Donald Trump stated the following about Affordable Care Act during the Oct. 9, 2016 presidential debate at Washington University in St. Louis, MO, a transcript of which is available at nytimes.com:
“Obamacare is a disaster. You know it, we all know it. It’s going up at numbers that nobody’s ever seen, worldwide…
Obamacare will never work. It’s very bad, very bad health insurance. Far too expensive. And not only expensive for the person that has it, unbelievably expensive for our country. It’s going to be one of the biggest line items very shortly.
We have to repeal it and replace it with something absolutely much less expensive and something that works, where your plan can actually be tailored. We have to get rid of the lines around the state, artificial lines, where we stop insurance companies from coming in and competing, because they want — and President Obama and whoever was working on it — they want to leave those lines, because that gives the insurance companies essentially monopolies. We want competition…
President Obama said you keep your doctor, you keep your plan. The whole thing was a fraud, and it doesn’t work.”