Confirming the disconnect between the empty-promise pretenses on which ObamaCare was sold and its real-world effects in practice is a new report from Medicare actuaries that says health spending in ObamaCare’s first 10 years will be about $621 billion higher than it would be without that train wreck of a law.

That’s $7,450 more in health spending per family of four through 2022, according to Duke University health-policy expert Chris Conover, writing for The Apothecary, a Forbes blog. And that figure’s contrast with candidate Barack Obama’s 2008 promise that he’d lower such families’ premiums “by up to $2,500” — during his first term! — is both grim and stark.