THE OTHER SIDE OF OBAMACARE: Millions Excluded from Obamacare Aid, Pass on Coverage.

“It’s hard to tell people who don’t see health care needs in the year ahead that they should be paying premiums and higher deductibles to make the system work for everyone else,” says JoAnn Volk, a senior research professor at Georgetown University’s Center on Health Insurance Reforms. “But the going-in idea is that you’ll need health insurance at some point.”

To 42-year-old Tiffany, one of several people U.S. News spoke with whose last names are being withheld to protect their privacy, the costs of coverage to her and her husband this year were overwhelming: $1,221.20 per month, with an $11,700 deductible. If they were to divorce, they realized, they would qualify for cheaper coverage. Alternatively, Tiffany’s husband, who is self-employed, would need to make an extra $20,000 a year to make up the difference once medication and doctor visits are factored in.

Though the option of ending their 17-year marriage wasn’t truly on the table, to them it accentuated the lack of options they faced this year. The Columbus, Ohio-area residents already had been unhappy with the plan they bought the previous year, finding that it covered few of the services they needed. Their regular medical needs include providing medication for a daughter with attention deficit hyperactivity disorder and another with mild asthma.

As a family of five making between $115,000 and $125,000 a year, they did not qualify for subsidies. And doctors in the plans available were far away.

“This year, I just cried,” Tiffany says of the moment she saw how much insurance was going to cost them. “I’m not an emotional person. I was just floored. I completely shut down because there were no options.”

Somebody needs to tell JoAnn Volk that the choice between going broke now for certain, or taking a chance on going broke later, is no choice at all.

Anyway, ObamaCare sticks it to the middle and upper-middle class because, as Willie Sutton is supposed to have said, that’s where the money is.