Maybe they could have done it in a way that didn’t double or triple the price for young healthy people.
There were a few things that caused an immediate increase in rates.
*Blended gender rates. This lowered rates for women, raised them for males.
*Mandatory maternity benefits, including complications of pregnancy in all health policies.
*Certain minimum benefits including screenings with no out of pocket cost.
*Removal of the life time benefit caps.
*Annual open enrollment
*Eliminated pool closing
This had a disproportionate effect on healthy, low risk young men, who got a break for health insurance under the old system.
One of the concepts was to broaden to the risk pool..
The other was to encourage participation via refundable income tax credit financing and tax penalties for noncompliance. Trump removed the poorly enforced penalties.