There will be 20 million dumped onto gov't plans when they are forced to by the fact that employers will stop providing health care coverage all together.
Obama is forcing a shift to government single payer, by making mandatory coverages in private plans so expensive that companies cannot afford the employee premiums. They'll pay the gov't penalty rather than pay for the insurance plans.
There will be many, many millions dumped onto exchanges because Obama will make it too expensive not to!!