As we have noted, Emily Bazar of the California Health Care Foundation’s Center for Health Reporting has been working three shifts documenting the abuses of Covered California, a wholly owned subsidiary of Obamacare. These abuses include a dysfunctional computer system that cost nearly $500 million, cancellation of health insurance without notice when people report changes in income, difficulties leaving Covered California when people go on Medicare, and so forth. For Bazar, this added up to “widespread consumer misery” that doesn’t stop when people die. Covered California places some enrollees in Medi-Cal, which runs an “Estate Recovery Program” that seeks repayment of medical cost, even from family members after a patient dies. Under Obamacare, Bazar writes, this recovery program “just got bigger and its reach broader.”

But the reach does not stop there.

As Bazar now warns, “a hefty Obamacare excise tax – known informally as the ‘Cadillac Tax’ will target high-cost health insurance plans offered by employers. Don’t be fooled by the 2018 start date. Some employers are taking steps now to avoid the tax.” It sets the threshold at $10,200 for individual coverage and $27,500 for families, and it counts both your share of the premium and your employer’s share. It also targets health reimbursement accounts (HRAs) and health savings accounts (HSAs). The Obamacare excise tax will apply to employers of all sizes and includes no adjustment for geography. Therefore, plans in regions with high health costs, such as the Bay Area, are more likely to be hit with the tax. As one Obamacare expert told Bazar, “if someone is part of a workplace that has sicker employees, premiums are likely to be higher and the plan is more likely to be taxed.” And as Bazar explains, “opposition to the tax crosses party lines, but getting Congress to act on anything related to Obamacare is a tall order.”

So Obamacare misery is going to get worse, but if you don’t like the plan, you’ll have to keep it. Under Obamacare, you don’t get what you want. You get only what the government wants you to have. That’s the “transformation” the president was talking about.