paying more. we are going to spend more, not less, as nation on healthcare. reform was supposed to be about getting this monster under control and it s going the wrong direction. reporter: the actuaries found under the new law, national health spending would increase by $311 billion over the next ten years, $89 billion more than previously thought. though that is a small percentage of total spending which would be $35 trillion. the report also found 18 million people, more than half of 34 million who would gain health insurance, would be forced into medicaid, healthcare for the poor. but medicaid reimburs so little, many doctors and other provide ores can not afford providers cannot afford to participate. actuaries say it s reasonable to expect the increased portion of demand for medicaid would be difficult to meet, particularly over the first few years. they also noted cuts to medicare are likely to be deeper than thought of the ridgeal estimates put it at $475 billion. it will