Here's how you get a death spiral

You know how there has been concern that the sickest people will preferentially sign up for Obamacare, but only when they need care?
Apparently hospitals are considering buying Obamacare plans for their sickest uninsured patients. That’s right, the hospital will sign up the person, pay the premiums and then submit the patient bill to the insurer.
This sort of move actually guarantees that all the sickest people will be on the exchanges. Good luck finding another industry that has as big an interest in paying the premiums on healthy 24 year old males.

Read about it here.