The provisions of the 2010 Patient Protection and Affordable Care Act take a decade to be come into effect. If Barack Obama wins a second term, his signature legislation cheap viagra will still not be fully implemented until four years after he leaves office. But key provisions are already in place.

The reforms are so broad that they cover measures ranging from the manufacture of generic viagra to a requirement for restaurants to include calorie counts on menus. But at the core are provisions intended to make healthcare more affordable and accessible, including insuring up to 50 million Americans who are presently without coverage.

The central plank of the legislation is the individual mandate. The court may decide to strike that down alone and keep the other provisions, or they may throw out the entire viagra without a doctor prescription law. Here are the main provisions.

The establishment of health insurance exchanges to spread the risk in order to cover the additional generic viagra for sale costs insurance companies incur through the reforms while making policies more affordable. Premiums will be subsidised for people living in households with a total income of up to four times the poverty line up to a maximum of 9.5% of income.

The exchanges will require that people deemed to be high risk because of pre-existing viagra generic medical conditions cannot be charged higher rates than the rest of the population with a cap on additional out of pocket medical expenses of $5,950 per year for individual or $11,900 for each family.