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I don't think the gross costs will remain the same. I think the gross costs will go down.
If you have no money and no health insurance now and are having a health crisis, you go to the ER and get treated there. You can't pay the bill, so the rest of us pay for it with higher hospital prices. Under Obamacare, you will have health insurance and go to a doctor instead. Maybe even sooner, where you will get it treated for a lower cost. Gross costs will go down.
Plus, getting people paying into the system who have not been in the system before will be an extra source of revenue. It's not a bad thing to have everyone paying in. Sure, for that healthy 27 year old, it will seem like a waste of money, but what they are buying is the promise that they will be taken care of when they get older and are sick. It's kind of like a forced savings account (where your money is given to other people now and then later, other people's money is given to you.)
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