Now Anericans are gonna pay more.

Ergo one of the following

  • BEFORE, non mAmericans were gonna pay for healthcareAmericans get, or
  • BEFORE, magic fairy money was gonna pay for healthcare Americans get.
  • BEFORE Americans were to be denied Healthcare, now they are gonna get it.

Cost-shifting is cost-shifting. Stuff is not ‘free’ one way but ‘at a cost’ the other.