Obamacare Fact or Myth? (Congress, premium, insurance, cost)

[freemkt]

[re states that opt out of Medicaid expansion]

Now each state can decide whether or not they want to opt out of expanding coverage to their poorest with no penalty. The new ruling doesn't just hurt Medicaid and ObamaCare, it affects the tax payer by forcing us to pay for states that choose not to help their poorest.

[snip]

If the states decide to Opt-Out of Medicaid expansion, ObamaCare itself will have to step up to the plate and insure these individuals via the ObamaCare Health Exchanges. The problem is that this will likely raise everyone's health insurance, including those with private insurance.
This means that anti-ObamaCare states who reject Medicaid will not only hurt their poorest, it will affect every tax paying American and every American who has health insurance.

[snip]


• Low-income families and other Americans who would be eligible for Medicaid will fall between the cracks without expansion (as they do now). ObamaCare will most likely have to insure them in the ObamaCare health exchanges. This is projected to drive up the cost of insurance for all Americans by a great deal.

ObamaCare Medicaid Expansion


People who remain uninsured because they live in states that opt out of expanding Medicaid...are NOT eligible for subsidies on the Exchanges.

In the vast majority of cases, in the absence of subsidies, insurance premiums will be unaffordable to these people (who, by definition, do not earn more than 133% of federal poverty level). In the vast majority of these cases, these people will remain uninsured.

When these people remain uninsured, how is it that "this will likely raise everyone's health insurance"?

There is no obligation within Obamacare that "Obamacare will most likely have to insure them" and it's a pretty good bet that Congress will not amend Obamacare to insure them.

So how does this "affect[s] the tax payer by forcing us to pay for states that choose not to help their poorest"?