I read an explanation the other day that older folks with preexisting conditions WILL sign up and are a guaranteed draw off the system, what is not happening is young sign ups to offset the draw. Bada bing, bada boom...ACA death spiral.
In MN, 140,000 people lost their coverage, 130,000 got coverage that didn’t have it prior. Of the 130,000 that were uninsured prior to obamacare, 70,000 are entirely subsidized (medicare/medicaid/SSDI).
So we had to boot 140K people who had insurance in order to provide for 130K who didn’t, but the 140K who just got booted have to pay more than double what they were paying, get worse coverage, have higher deductibles and out of pocket expenses - all so 130K can be leeches.