Insofar as the plan's point was to cover the uninsured, covering more of the uninsured may be pricey, but it's not a failure. It's an expensive success. A more relevant measure of the plan's efficiency is costs per enrollee, which have been lower than expected. Cost per enrollee came in under budget in 2007, by about $2 a month. In other words, the program is operating a bit more efficiently then expected, but covering more people than anticipated.There's trouble too. Go read.