The Affordable Care Act has caused President Obama to lose his integrity as an effective leader with most American citizens. As a good CEO he had to work within the organization and see to it that he made good on all his promises.

He had promised the people that with Obamacare, people who had difficulty in getting covers for health insurance would find it easy, those who were insured and happy with their plan could keep the same. There would be no need to change doctors they were comfortable with. To start with the ACA website is not simple to use and by end of November 365,000 citizens signed up for insurance on the website. The expected number was 7 million.

Significant information about the insured, their dependents and their income details have not reached the insurers. The program meant to pay insurance companies federal subsidies is still not in place. The companies will not be equipped to pay out claims. Doctors will be unable to collect money from patients who cannot afford to pay them. Many earlier group and independent policies were declared non-compliant by the ACA. After a public hue and cry the president re-instated these policies for a year.