They’re getting the low hanging fruit, people who wanted insurance but for whatever reason did not have it before. These people are liabilities. They won’t be funding and supporting the system, they’ll be a drain on it.
After these people, it’s all up hill. Getting people to sign up, to pay the bill, is going to be harder and harder.
More like "harsher and harsher", because they're going to start using the stick to force people to sign up.