Obamacare

Really, it's not that complicated and the portrait you just painted is grossly inaccurate and unfair.

It is complicated and the portrait is accurate.
But hey I will give you a chance since you know this legislation perfectly.
Can you give a brief rundown on funding allocations and exemptions for the DSH program, can you give a brief summary of the methodology and sliding scale plus method of distribution which is aiming to reduce those payments, and of course the timeframe set for the planned reduction?

then we will be stuck with some NHS like debacle.

Is that the NHS which despite its faults and the foolish tory ideological driven meddling still gives better results for less money than the US system?
Or is that the infamous NHS which Stephen Hawking would have died in if he had used it?

Are you that blinded by your ideology to see this?

What ideology young man?