Doctor-Exam-Child-TongueAs we’ve warned for months, just because Americans are required to have health insurance coverage under regulations contained in the Affordable Care Act, that doesn’t mean that they will have access to care. If you recall, the entire purpose behind Obamacare, according to the president and the law’s backers, was only to insure something like 14 or 15 million people, because at the time the measure was being debated, the vast majority of Americans — well over 80 percent — had health insurance. What’s more, the bulk of those insured had private sector plans, and most were insured through employers; the number of Americans on taxpayer-subsidized coverage, like Medicaid, was minimal. Obamacare is beginning to change that dynamic, however, as noted by the administration’s new enrollment figures released a couple of weeks ago: According to CNN/Money, some 8.7 million more Americans are now enrolled in Medicaid as of August than were a year earlier. And Medicaid expansion is at the heart of the Affordable Care Act (though you would think, in a free-market economy, the goal of any health insurance reform effort would be to put more people into private-sector plans, not hook them on a taxpayer-subsidized plan). More