As you said, we were paying it anyway through payment by government to hospitals. Now we will be paying it anyway with a whole heap of bureaucrats to be paid piled on top. Do you think all those IRS agents and overseers of this system work for free? No, the IRS just added a new fee, it will add ANOTHER $150 to your current self paid policy or over $300 for a business paying a policy. The current Obamacare allows folks to just pay the penalty and then go buy insurance if they get sick. What do you think that system is going to do for the people trying to pay for their own insurance. We are a couple paying our own health insurance. It went up 23% this year to $830 a month with a high deductible. That's before the new IRS fee.