Call it the Affordable Care Act.  Call It Obamacare.  Most folks are going to call it costly.  As the roll-out of Obamacare starts, taxpayers and insurance customers are going to notice that they're paying additional fees that weren't effectively presented up front.

A new fee will be applied to every person who holds medical health insurance, and it's purpose is to pay for other people who have pre-existing conditions.

The $63-per-head fee - buried in a recent regulation -will hit health plans serving an estimated 190 million Americans, mostly workers and their families. It's payable starting in 2014.

Employers are not happy. The cost of compliance works out to tens of millions of dollars for the largest companies, maybe a few hundred for small firms. Most of that will get passed on to workers.

Followers of the bill - on both sides - agree that more expenses are to be expected as the country prepares for universal health coverage.