Ensuring that Americans are educated and fully understand Obamacare, weighing the benefits and disadvantages of health care reform, and considering intermediaries such as the working middle class will help create a a larger majority of support and have a more positive outlook on future reforms. Regardless of income classification, all Americans need to feel like they are not forgotten. Every American is affected by this reform and no matter how hard they work or how imprecise the income guidelines may be, there is no escape from the inevitable outcome. References Current status of state decisions on Medicaid expansion. (2015, June 22). Retrieved July 1, 2015, from http://kff.org/health-reform/slide/current-status-of-the-medicaid-expansion-decision/Senger, A. (2012, May 25). The top five ways Obamacare is crushing the middle class. Retrieved July 2, 2015, from http://dailysignal.com//2012/05/25/top-five-ways-obamacare-crushes-the-middle-class/Wilson, K. (Ed.). (2014, July 1). Slow growth persists. Retrieved July 1, 2015, from http://www.chcf.org/publications/2014/07/health-care-costs-101Zwelling, L., & Kantarjian, H. M. (2014). Obamacare: Why Should We Care?. Journal of Oncology Practice / American Society of Clinical Oncology, 10(1), 12-14.