When you have 60 million on Medicaid and 45 million on Medicare, and those numbers are rising dramatically, what kind of insurance premiums will the rest of the people be able to pay? Obamacare will add 11 million to Medicaid and the numbers on Medicare will double by 2030. In 1950 there were 16 workers for every retiree; today there are 3.3, and by 2030 there will be two. Who is going to pay for all of this?
The 1/2 or more of your 60 million recipients who are now getting it free. They are getting a free ride thanks to overly zealous bureaucrats trying to grow their industry.
The reason provider costs are rising so much is because of all the government mandated "free health care" being passed along to the paying customers.
That's why "cost shifting" (just another form of theft) needs to be illegal.