Respectfully SAGEMEISTER, so far the premiums on the ACA have went up by double digits in several states annually since it's inception, even with their already high deductibles, 27% in Colorado to as much as 48% in other states like Montana this year alone. 

The premiums looked nice the first year, but then insurers started losing money, and many have walked away leaving states with even greater financial liabilities, and today, rural America has virtually no providers which was a problem before he ACA now worse, Those who aren't on the ACA, (the middle class) have saw their premiums skyrocket annually ever since the ACA's inception, as insurers make the losses up on them. 


As we speak, the federal government, whose subsidies to states are due to end, has been trying to pass legislation to give states more money just to be able to keep the program in these states solvent, in essence giving more taxpayer money to the private insurers to keep them from walking away from the ACA.