Hello T. A. Gardner,
"1. Overall policy cost goes up dramatically, not down." And who in this world was naive enough to believe that health care policy prices would have remained the same after years of steep hikes?
I'm no fan of insurance companies, and it's true that the industry crafted the law. However, they were forced to accept people with pre existing conditions. How costly do you believe that alone was?
They also had pages of preventive tests/procedures that they had to offer at no out of pocket cost to insured people.
The mandate was put in place to offset losses, and assure that people wouldn't sign up AFTER being diagnosed with an illness.
That's why there was an enrollment period.
The risk corridor program funded losses in excess of expectations, as well as seed programs for any insurance company that wanted to either start up as, or change to a non profit.
Risk sharing gave money to insurers with high losses from insurers with high profits.
With these key provisions removed by Republicans, ACA was essentially never allowed to exist as designed.
In theory, a healthier society would incur less cost to insurers after the initial few years.
The plan wasn't perfect, but it was a foundation. 60% of the nation refused to set up an exchange, which is why so many people like to complain about lack of choices.
NY had/has an amazing exchange.