or medicaid expanded roles are doing just fine or are better off under obamacare, but a significant few are worse off. health premiums shot up more than expected, especially in the individual market affecting 21 million people, which, by the way, represents just 7% of americans with health insurance. an even smaller segment within the individual market, lower to middle income americans who aren't poor enough to qualify for medicaid but make too much to receive insurance subsidiaries and aren't old enough for medicare have been crushed by obamacare premiums. that doesn't make for a death spiral but it's clear this obamacare's insurance mandate isn't robust enough. the incentive for america's young and healthy to sign up and stay covered has been weak because of ever rising premiums. an estimated 2 million americans have already dropped their coverage this year alone. they have decided it's cheaper to pay $695 penalty for an individual or 2.5% of income for