When the ACA passed, I had catastrophic care insurance. I was making six figures a year, and figured I'd risk the $5000/incident deductible, and just pay the small stuff out of pocket. About six months later, I was informed that my policy would be ending, and that no renewals would be offered because the policy did not comply with ACA requirements.
Okay. Health 'care' (insurance) was supposed to be more affordable, right?
So, perusing the exchange sites for my State, and looking specifically at the most affordable option (of the two plans offered), and it would cost 28,000/year for
'insurance' with a $14,000 deductible for the family (of 4).
I did the math on how much paying cash had cost in the last 5 years, and came up with less than the premiums for one year.
(Just a semantic reminder, this was the charge proposed (had I signed on) for health INSURANCE, not for health CARE.)
I decided to risk having to pay the fine (Roberts' "Tax") for not having the insurance.
I did not have health insurance after that until I was hauling pizzas during COVID--the company I was working for got me BCBS for $80 a paycheck (160/month).
We got the paperwork straight and got the rest of the family on Tribal Health. They are members of their particular band of Chippewa, after all.
After I left there, no insurance until Medicare, and that Part G supplement has gone up $1200/year over the last 18 months.
In that time, I have had some quality health care, but it was in an ER 2000 miles from home (within 30 miles of D.C.). Here, I hear a lot of horror stories, but have been fortunate so far.
But looking back, there was a massive reallocation of taxpayer funds to insurance companies in the name of subsidies. If the Act was to actually make health CARE affordable, why didn't it? Instead, it made for fewer insurance options, and for anyone actually making a decent living, it made insurance ridiculously expensive.
How much of that actually trickled down into health CARE, I don't pretend to know.