Making healthcare more expensive for the middle class is intended to eliminate the middle class, eventually. Obamacare in its gradualism is an example of Fabian socialism.
But it's classic Marxism nonetheless, wherein the middle class is seen to be the greatest enemy, not the rich. The middle class stands in the proletariat's way in its contest against the rich. The middle class must be reduced and absorbed by the proletariat in order to end the possibility of the middle class getting wealthier and rising up the economic ladder.
Instead the middle class must be forced down the economic ladder.
We are living it, but the masses hardly notice as they are anesthetized by libertarian phantoms in fake news, entertainments, drugs and assorted excesses of appetite. The effect of it all is an equality! How could that be bad!?
The enemy proceeds with utter seriousness, corrupting the body politic, while seriousness can hardly be found in anyone else.