Americans who sign up for Obamacare will be getting a big surprise if they expect to access premium health care that may have been previously covered under their personal policies. Insurers operating in the exchanges are apparently hesitant to talk about the trade-off between price and quality Many top hospitals are opting out of Obamacare. Many exchanges don't even list the insurance companies on their web sites. Some that do, like California, don't provide names of doctors or hospitals. When you are doing a cost comparison with doctors, you should look up the quality of the hospital as well.