million in 2010 to 28 million in 2016 in large part of the individual mandate requiring all to get health coverage. millions of america s poor who couldn t afford it and millions more with illnesses who couldn t find an insurer to cover them benefited. the vast majority of americans, whether they re on employer plands or med case expanded roles are doing just nine or are better off under obamacare s. but a significant few are worse off. health premiums have 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. and 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 subsidies 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 that obamacare is