The free market run up in cost is one of the reasons why the PPACA got traction to begin with - first under a version endorsed by the Heritage Foundation and many Republicans, and afterwards as the version now in place.
What Mitt Romney implemented in Massachusetts was similar, but it had since been discovered that he had assistance through Sen. Ted Kennedy in getting federal subsidies in order to keep it on life support. Without those subsidies "Romneycare" wouldn't have survived. Doesn't foretell well for Obamacare.
