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

The ACA was originally designed as a "three-legged stool" of nondiscrimination (insurance companies can't charge higher rates to sick people), the individual mandate, and subsidies.

If you remove one of legs of the stool, the market becomes unstable and you see price spirals like this.

Jonathan Gruber (MIT econ professor, and one of the designers of the Affordable Care Act) gave a fairly detailed talk about how and why they designed the ACA the way they did, learning from a similar law in Massachusetts: https://youtu.be/2fTHqARiV_Q?si=SRC6Np-rjgUgAe4Z&t=679

My hope, perhaps naive, is that 95% of what happens in this Rube Goldberg machine basically amounts to the government paying private insurance companies to pay doctors, which is inefficient but ultimately straightforward.

>which is inefficient but ultimately straightforward.

That's an understatement on the order of saying WW2 was a rebalancing of geopolitical power.

Healthcare is what? 20% of GPD. Likely half of that is paper pushing compliance checking rubber stamping that likely ought not to exist.

According to: https://fiscaldata.treasury.gov/americas-finance-guide/feder...

22 % Social Security

14 % Net Interest

14 % Medicare

13 % Health

13 % National Defense

10 % Income Security

5 % Veterans Benefits and Services

2 % Education, Training, Employment, and Social Services

2 % Transportation

1 % Natural Resources and Environment

3 % Other