Unbelievably convoluted logic.
It’s not at all clear that Obamacare is in a death spiral, but there’s no question the program is troubled. Insurers have found themselves with sicker and costlier customers than they expected, forcing them to raise rates and exit certain markets
But the definition of a death spiral is ... sicker customers lead to raising rates lead to healthier customers not renewing leading to an even higher percentage of sicker customers leading to ...
Two sentences in the paragraph, and the second contradicts the first. That’s worse than convoluted logic!