"We ain't a sharp species. We kill each other over arguments about what happens when you die, then fail to see the ******* irony in that." - Justin Halpern
But the exchanges don't run on gov reimbursements. They are private insurance plans, and the restrictions they've put on them will drive up the prices. It's not important what they overall medical spending is, all that matters is what the price of premiums are, and that's what will skyrocket.