Ignore the tricks that are used to get the cost below the magic $1 trillion mark. Ignore the fact that government estimates of the cost of their smart ideas are usually wrong by an order of magnitude. Take the $1 trillion as a starting point. What will it cost the average American family? There are around 100 million families in the US. A little simple arithmetic shows that it will cost each American family an extra $1,000 per year, one way or another. For most of us, that extra $1,000 will buy less choice, worse care, and rationing just when we most need medical help.

The reality is that Obamacare will end up costing each family much more than the base number of $1,000 p.a., whether through tax increases, premium increases, or rationed coverage. Moreover, it is inevitable that quality will decline, innovation will stop, people will spend more in pain waiting for routine operations, and the vulnerable will suffer greater mortality rates. That’s how it is when the government runs healthcare.