I think this is a great first step, compared to what I had in Canada before I moved to the U.S., including cost, the access to health care I have now is crap. Compared to my neighbor, I have a pretty good plan. I find the cadillac plan tax funny, and sad, because the rest of the industrialized world calls those plans basic health care. The only current effects on me and my family, is that my 17 year old son will be able to stay on my plan for another 8 years. That puts my mind at ease because both employment and benefits are hard to come by now. He is going to college, but this is a huge relief. Further down the road, I may be able to get into the health care exchanges, depending on my income, and it seems like it will be a relief avor the very restrictive choices I have now. Although, what type of plans are offered is still up in the air. I'm not expecting much. Other that that, my access to health care won't change much.
I had my daughter at the library about a month ago, I overheard 3 senior couples speaking to one another. The were in the 65-67 year old range. They all expressed so much relief to be on medicare rather than what they had before. They said it was like a weight was lifted off of them.