ACA health insurance will cost the average person 75% more next year

This is, quite simply, a lie.

https://www.kff.org/report-section/ehbs-2023-section-1-cost-...

Figure 1.12 shows average annual premiums from 1999 to 2023. The ACA was passed in the middle of that range. It's a sustained upwards march, before and after its passage.

For all that cost - 2-3x as much as the other OECD nations spend, inclusive of taxes - we get shitty outcomes.

https://assets.ourworldindata.org/uploads/2016/04/ftotHealth...

Prior to ACA all my colleagues in my peer group had employer provided health insurance that cost us very little, and it paid for virtually all medical bills except prescriptions. A HDHP was an option, but it only saved maybe a hundred or two a month, if that.

Today for most employees a HDHP is the ONLY option, and the cost is much higher than the old standard health plans were.

Before it was passed, I as a young 25 year old was unable to get individual health insurance at any price due to "pre-existing conditions."

Your company is passing the ever-increasing costs (which, again, have been on a steady sloped increase both before and after the ACA, since the 1970s; https://ourworldindata.org/grapher/health-expenditure-and-fi...) along to you, yes. This is a significant problem with our system; people think they get healthcare for $50/month, but it's really coming out of a reduced salary.

You're getting fucked (as am I!), but the ACA isn't what's doing it.

Your peer group consisted of working people who could generally wake up in the morning. Generally healthy people.

Your insured pool now includes people who don't take care of themselves and treat the emergency room like a private doctor's office.

Other countries with government-controlled healthcare introduced wait times to encourage people to consider whether eating that extra donut was worth the health risk. I suspect we'll follow that path, too.

My rate and everyone I know had an increase of 60-100% after it was passed.

So not a 'lie' as you state. You are simply uninformed.

Shouldn't that be obvious on the payslip?

On the contrary, many plans were removed because they didn't cover enough, forcing many people into higher plans.

Rates have been going up since the 1970s, with a steady slope. Before and after ACA.

I don't doubt that your rates are going up. I doubt your attribution of the cause.

That's part of the problem; it's only legally required to be shown post-ACA.

https://www.irs.gov/affordable-care-act/form-w-2-reporting-o...

> The Affordable Care Act requires employers to report the cost of coverage under an employer-sponsored group health plan. Reporting the cost of health care coverage on the Form W-2 does not mean that the coverage is taxable. The value of the employer’s excludable contribution to health coverage continues to be excludable from an employee's income, and it is not taxable. This reporting is for informational purposes only and will provide employees useful and comparable consumer information on the cost of their health care coverage.

So, it went from "I pay $50/month for healthcare" to "my paycheck says they're taking $2k/month! what the fuck?!" in folks' minds.

> Other countries with government-controlled healthcare introduced wait times…

No, they have wait times. Just like the US does.

https://www.statista.com/chart/33079/average-waiting-times-f...

"According to a recent study by the Consumer Choice Center, the average wait for a GP appointment in the United States in 2023 was around three weeks, two to ten times longer than in Europe. For example, in that year, the average waiting time for a medical consultation was two days in Switzerland, six days in France and ten days in the United Kingdom and Italy."