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Mike, could be related to more unemployed?
As more people become insured by virtue of Obamacare, some that were insured will end up uninsured because they can't afford it; or smaller employers will cease offering it if the costs are prohibitive.
If unavailable from employers, mid-income, young, healthy people will opt for the "penalty" since it will be less expensive than the insurance. When they get sick & take coverage (since there is no penalty involved there), costs will increase for those who have been paying for insurance all along (even if they stayed pretty healthy & didn't need it).
Net result: for those who maintain insurance now & continue to do so, costs will continue to increase because those who don't have insurance, or delay getting it until they need it, will still be added to the costs of those who do pay for their insurance.
I don't think we'll see cost savings from preventative care that equal the added costs unless cancer, accidents and heart disease are controlled. Only way they might be able to do that is to do something effective about the most common causes of those health issues.
"Know in your heart that all things are possible. We couldn't conceive of a miracle if none ever happened." -Libby Fudim
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