MA definitely knows it -- they just won't admit it. These hordes of people who can afford health insurance but don't buy it just don't exist, at least not in significant numbers. So with the mandate, more are pushed into Medicaid (MassHealth, as it's known here). Reporting on the failure of the MA plan is thin, to say the least, but I've heard reports, not followed up on (of course), of at least three hospitals close to bankruptcy and four that are suing the state over the pathetic reimbursements. Taxes and fees have been raised to pay for it (in spite of two federal bailouts!).
The cost of MA health insurance (already the highest in the nation) jumped. (I've seen different figures, so not sure which is accurate.) More people are paying the fine rather than buying insurance. If they get sick, of course, with no exclusion for pre-existing conditions, they buy it, get treated, and drop it as soon as possible, so it's not the bonanza the health insurers expected!
If they pass this thing they’re going to destroy the best health care system in the world. America is the place people come for the life saving care they can’t get elsewhere. And the democrats are going to kill that not only for us, but for people all over the world.