Friend, we've got data. 21 months worth now, encompassing the spending of the most high-cost and high-needs people likely to enroll. You're just ignoring it. Because the costs are way less than projected. As have been, by the way, the savings--which you've clearly acknowledged exist in this very thread (e.g., post #1029). So let's not pretend you've suddenly forgotten how much money the ACA is also saving.
But I'm glad you recognize these programs are here to stay. You're ahead of many of your ideological stripe in that respect.
Friend, here is the budget of the United States and the line items. Please tell me where healthcare costs are in these numbers??
National defense ............................................................................................ 605,034
International affairs......................................................................................... 46,692
General science, space, and technology ....................................................... 28,624
Energy ............................................................................................................ 5,277
Natural resources and environment............................................................... 35,102
Agriculture ...................................................................................................... 26,118
Commerce and housing credit ....................................................................... -95,319
Transportation ................................................................................................ 91,474
Community and regional development .......................................................... 21,556
Education, training, employment and social services.................................... 89,353
Health ............................................................................................................. 409,402
Medicare......................................................................................................... 511,691
Income security .............................................................................................. 513,929
Social security ................................................................................................ 850,536
Veterans benefits and services ...................................................................... 149,617
Administration of justice ................................................................................. 52,354
General Government ..................................................................................... 22,794
Net interest ..................................................................................................... 227,953
Undistributed offsetting receipts .................................................................... -88,042
Total outlays ............................................................................................. 3,504,145