ObamaCare: What will it really do for you? - The Week What are the basic aims of health care reform? Its primary goals are to insure all Americans (not including illegal immigrants), stem insurance industry "abuses," start reining in the skyrocketing costs of health care, and reorient the medical profession toward a style of care that incentivizes outcomes, not expensive procedures. How effective this particular bill will be at meeting those goals is a matter of intense debate, of course. What would change right away? Most of the big changes start in 2014, but a number of smaller things would kick in over six months to a year. What smaller changes? Democrats tout several immediate changes they think will be popular: uninsured people with pre-existing conditions will get temporary affordable coverage; children will be protected from exclusion for pre-existing conditions, and will be able to stay on their parents' plans until age 26; preventative care, like checkups, won't cost anything out-of-pocket; there won't be any annual or lifetime caps on coverage; and some Medicare beneficiaries will get more help buying prescription drugs, among other perks.