.....Wow, I write 3 paragraphs full of detail, with 4 qualified attachments to back them up, and what I get from you is THAT? Pretty weak statement, don't you think? You keep making unsubstantiated remarks like that ... you honestly are starting to act & sound like Trump. Each state is different as to their ACA situation because each state (with their Republican or Democrat controlled legislators) approached the ACA a bit differently. I do know that many of the Republican run states that initially refused to expand Medicaid under the ACA are NOW doing it because they now realize the Republicans in Washington with their very 'fake' president have no intentions to really help them. And Blue Cross (our lone provider thanks to the Republicans) announced just yesterday that some areas of the state would see a drop of 'up to' 16% in their premiums.And the Democrats have done ???? I mean besides making it a criminal act if I don't give money to a greedy insurance corporation. How does it feel to work for what you claim so adamantly to be against?
.....If the government is to sponsor an affordable health plan that provides "guaranteed acceptance" and picks up pre-existing conditions, they need "healthy" money coming into the plan as well as "sick" money, otherwise the only ones enrolling under the plan would be those who were already sick and those who were just diagnosed with a sickness or medical condition, thus the premiums would be much higher as those folks, only, enroll. The margin of profit for health insurance carriers is less than 2%, and the marginal loss ratio keeps health insurance companies from pricing their products at premiums above 15-20% of their incoming claims. They have to give that money back to the insureds as over-charge, as they have each year thus far. It would be beneficial if the Republicans would have established and encouraged the Exchanges as that was one way of creating competition, to drive down cost (kind of capitalistic, don't you think?) but then, the Republicans didn't want to drive health insurance rates down, they wanted drive the rates UP ... so fewer people would want to enroll in the ACA health insurance. The Republicans also cut the number of days for enrollments into the ACA AND cut the advertisement time on announcing 'open-enrollments'.
.....Republicans have won the battles and lost the war on health insurance premiums. They removed the enrollment requirement and discouraged or stopped states from establishing their Exchanges, and they refused to use the Medicaid Expansion ... all safe guards to drive the rates downward. So, you know what your personal state has done for you ... maybe you should consider changing your voting in the upcoming mid-terms, TwoBi. Unfortunately, you seem to be a bit too boneheaded to admit the truth when you see it, and you'll probably keep doing what you have been doing but expecting a different results, I'm quite sure.