Healthcare reform addresses the need for changes in health policy in an attempt to widen the population of individuals receiving health care treatment by means of public or private insurance companies, increase health care providers, improve health care quality and access to health care specialists, and decrease the cost of health care. With the reform, jobs could be increased in the long run according to the Center for American Progress. That is, health care reform could reduce the health care insurance premiums of employers, allowing them to provide jobs, hire more employees, and raise middle-class wages. Read more http://www.americanprogress.org/issues/2010/01/pdf/health_care_jobs.pdf.

Health care providers are very important in the healthcare industry. If there is a need for increased health care workforce, there must also be a need to consider the financial conditions of the healthcare workers. Hopefully, the greater the need for health care workers, the likelier that they will earn much as there are many people who needs improved and quality well-being. This issue depends on the budget of the government as the health care reform is still an ongoing process. Nevertheless, there should be a balance in the objectives of health care reform.

For more info about health care reform, visit http://www.webmd.com/healthy-aging/news/20100322/faq-how-health-care-reform-will-affect-consumers-employers.

I think you are referring to the CLASS Act program. That was cancelled, though. But back to your question, your monthly income will be deducted just like social security and other benefits. you could save up those deductions to an amount you could use to pay for your care

however, anyone has the right to opt out. This is optional.
http://www.completelongtermcare.com/resources/class-act.aspx