COBRAhealth.com - The Patient Protection and Affordable Care Act, PPACA. The government cannot create doctors, nurses and facilities to service the masses of people. ObamaCare cuts payments to the private health insurance companies that provide coverage to the 20 percent of Medicare enrollees who participate in the Medicare Advantage program.ObamaCare cuts the prices Medicare uses to pay hospitals and many other health care providers. ObamaCare could force one in six hospitals to stop accepting Medicare patients. we will ration with our eyes open.You can't get medications. You are left waiting on life saving procedures. You must wait for quality of life procedures that are medically needed. 5 million Canadians have no health insurance and the wait is 5 years for a primary care physician.