Hi Biz, I'm afraid I can't answer your question unless it's a little more specific on what you mean by opposite. I think if you read Part 2 and Part 3, it will become more clear that the PPACA will cause government bureaucracy to escalate dramatically. This will cause the cost of health care to shift into overdrive. The roll-out of the various aspects of the PPACA will of course affect timing - as will future decisions not yet made. But, in general, the adoption of 30mm new participants will be the "easy" part for the government, adjusting the size of the bureaucracy comes next. Then comes cost shifting and cost controls. The timing and duration of the phases I highlight in Part 1 reflect my best guess at how long these aspects take to play out. But under no circumstances will the legislation be able to achieve its stated goals: providing access to all, improving quality of care, and reducing cost of care. It's kind of like saying I'm trying to lose weight by eating more twinkies...