Actually there is a way out. A state could create a "re-insurance" association. It's sort of a backwards high-risk pool. It could take all the "grandfathered" high claims people out of the standard risk pool.
Since the RATs practically destroyed all insurance regs, given repeal, a state could probably create a high risk pool as well for new pre-x applicants.
This would grant everyone universal access to coverage, and keep the guaranteed losses separate from potential losses.
That's what keep premiums low for healthy people.
By the way, the actual percentage of insured in the "high risk" categories are typically between 1 and 2%.
Good idea, that just might work.
I am glad someone finally came up with a solution, because I couldn’t think of one and everyone kept attacking me thinking I was happy about the situation.