According to the CBO, the ACA is expected to cost $928B over 10 years, but in the process reduce the budget deficit by $138B over the same period.
The most important tax increase in ‘Obamacare’
Health Care Reform News - The New York Times
Unpaid hospital tab $49B each year - USATODAY.com
Unpaid care hikes private insurance premiums by billions - amednews.com
So, yes, there is an element of taxation to this; but it is a tax that has very tangible savings and on a net-net basis, puts the government and its citizens on much sounder financial and personal wellness foundation.