.....if you were young, healthy and officially unemployed (but had an unofficial form of income) what value would you see in paying any premium at all, if you didn't see such value before this, and the law specificly exempts you from the penalty because you don't pay taxes? You could argue that such officially unemployed young with non-taxable incomes is the minority, but the statisics on System D economies says otherwise.
Well, the large numbers of illegal Mexicans around where I live are not going to change their behavior. they are going to continue to go in for free health care. They are not converting from cash basis under the radar life to above board paychecks with FICA and income tax with held, and they are not going to sign up through a website which pulls them into "the system". The system would of course like to have more people funding it.
It is a very, very hungry system.