Listen now (23 mins) | Listen Now This past October 1st uninsured Americans who qualify for coverage under the Affordable Care Act could begin choosing a health care insurance plan offered via their state's healthcare insurance marketplace or exchange. The CBO estimates about 14 million Americans will buy health care insurance for 2014 and about 25 million will do so by the end of the decade (still leaving about 20 million Americans uninsured). Those that make more than the Federal Poverty Level/FPL but less than four times that level, or $94,000 for a family of four, can buy subsidized insurance and for those making less that 133% of the FPL ($15,000 a year for a single adult or $31,000 a year for a family of four) can sign up for Medicaid if their state is participating in the ACA's Medicaid expansion program - currently 24 states. Many American who can reasonably afford health care insurance do not buy it and approximately 40% of Americans who qualify for Medicaid do not subscribe. Since policy is what policy does,