In this program we speak about the newest phase of the health law, the Affordable Care Act. The health insurance exchanges are open and starting in January most people will be required to have health insurance or pay a penalty. There’s one problem: having health insurance in the United States does not mean that people will have access to or be able to afford the health care they need. Under the ACA, billions in public dollars are being spent to set up insurance markets, advertise them and sell their products. But, most people will only be able to afford, even with subsidies, the lowest tier insurances that require high payments up front before they cover care and that have very restricted networks of providers. The struggle for a real health care system, national Medicare for all, continues. Sergio Espana of the Maryland Health Care is a Human Right campaign and Russell Mokhiber of Single Payer Action talk about their work and what it will take to get real health care for everyone. For more information, visit ClearingtheFOGRadio.org.