Go to the source of the problem!

Because what they say publicly and what they really want - and are getting - are two different things.

Those receiving Medicare, then Medicaid, under Bush, had to select an insurance company.
The main beneficiary of that is:

ACA under Obama - again, select an insurance company.
The main beneficiary of that is:

ACA II under Trump.
The main beneficiary of that is:

So while the powers that be and the insurance & medical BUSINESSES cry foul,
OOPS! Their poor little hands are 'forced' to sign: "Yes"

Therefore, price/cost does not matter to the profiteers in the fastest/largest growth industry in America, 25% of our economic activity,,,

Well...That's some depressing shit. Thanks for the explanation.

Sad but true.
One of those, "Don't twist my arm, Ok, I'll do it!" situations,,,

Part, like having to take people with pre-existing conditions sucks for insurance companies, but look at all the new customers that are forced to pay them, not to mention risin costs soon after,,,