This is EXACTLY what every knowledgeable observer knew when the ACA was thrust down America's throat by Democrats (never a single Republican vote). It told health insurers:
- You cannot turn anyone down because of a pre-existing injury or medical condition,
- You cannot charge a higher premium to anyone with a pre-existing condition,
- You must group those people in with everyone else when calculating premiums, and
- We will not place any restrictions on premiums, so you - medical insurers - don't lose out.
OF COURSE, premiums would skyrocket, as would the profits of medical insurers. This is like asking what will happen if I drop a rock off the top of a building. Surprise! It falls to the ground!
The current ACA subsidies were "temporary" during Covid, but more importantly from a political standpoint, they were intended to conceal from the public how badly ACA had failed to control health insurance premiums as promised. THIS is why Schumer frantically demanded that the subsidies last AT LEAST UNTIL NOVEMBER 2026!
Guess what happens in November 2026. Mid-terms.
The only solution is to create an unconstitutional government program that allows insurers to separate out the aforementioned unfortunates, allows insurers to create logical groupings of insured persons and charge them appropriate rates, and "backstops" the insurers directly for the excess costs of insuring the people with pre-existing conditions.
Also, it would be cool to put some constraints on profiteering by the health insurers, allow interstate competition among insurers, and tackle tort reform
This is all unconstitutional, of course. Congress has no "power" to get into the health insurance business, but that train left the station a long time ago. But it would be a better unconstitutional solution than the current unconstitutional one.
