Either they are going to punish those who don't pay, or the whole thing falls apart, because not only do they need low risk people to pay for high risk people's policies, but they need to pay all the salaries of all the new fed. employees this monster creates.
SCOTUS when they overturned the campaign finance law:
FEC BUREAUCRAT: (honestly) "Yes. If it were a book, yes, the promotion and release would have been prohibited. But really, even though the criminal law is there, trust me, nobody would have ever been prosecuted in that way."
JUSTICE ROBERTS: (Leaning forward, forehead furrowed): "Madam, we do not put our First Amendment rights at the mercy of FEC bureaucrats!"
Dr. Ferris smiled. . . . . ."We've waited a long time to get something on you. You honest men are such a problem and such a headache. But we knew you'd slip sooner or later - and this is just what we wanted.""You seem to be pleased about it."
"Don't I have good reason to be?"
"But, after all, I did break one of your laws."
"Well, what do you think they're for?"
Dr. Ferris did not notice the sudden look on Rearden's face, the look of a man hit by the first vision of that which he had sought to see. Dr. Ferris was past the stage of seeing; he was intent upon delivering the last blows to an animal caught in a trap.
"Did you really think that we want those laws to be observed?" said Dr. Ferris. "We want them broken.
You'd better get it straight that it's not a bunch of boy scouts you're up against - then you'll know that this is not the age for beautiful gestures. We're after power and we mean it. You fellows were pikers, but we know the real trick, and you'd better get wise to it. There's no way to rule innocent men. The only power any government has is the power to crack down on criminals. Well, when there aren't enough criminals, one makes them. One declares so many things to be a crime that it becomes impossible for men to live without breaking laws. Who wants a nation of law-abiding citizens? What's there in that for anyone? But just pass the kind of laws that can neither be observed nor enforced nor objectively interpreted - and you create a nation of law-breakers - and then you cash in on guilt.
Now, that's the system, Mr. Rearden, that's the game, and once you understand it, you'll be much easier to deal with."
Atlas Shrugged