The U.S. Department of Health and Human Services just released a report asserting that 31 million people now have insurance coverage thanks to the Affordable Care Act. That would be a record, an increase of nearly 4 million from 2020.

That headline number could go up in the months to come. But the growth of Obamacare-linked coverage is largely a function of the federal government throwing billions of taxpayer dollars at Medicaid, private insurers, and even the wealthy.