re: Shocking news…..Obamacare once again requires sizable premium increases to stay solvent

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The ACA community rating mandate and essential health benefit mandate were the largest cost drivers. They are in effect.

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Yes, if I communicated that the ACA was completely dismantled, I apologize.

We still have it and it's still a steaming pile.

What I was addressing in that post was the resentment that Republicans hadn't officially and unilaterally abolished it.

If they had, MAGA would whine even louder, because it wouldn't be popular with the people who decide elections.

There's this strange tension on the right that we HAVE to win elections so that we can advance an agenda, but then we don't advance the agenda because people might not like it and we might lose the next election because of it. Whether we're talking about abortion or the ACA or pushing in Iran's shite or whatever it might be.

So we win governance and then are too scared to govern.

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The 5 largest health insurers had 0.8% profit margin in 2025.

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From Google:

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a 0.8% profit margin—is actually a real statistic, but it refers to a different metric. According to the National Association of Insurance Commissioners (NAIC), 0.8% was the aggregate profit margin for the entire U.S. health insurance industry

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I was talking about only for-profit insurers. That stat considers Medicare, Medicaid, etc.

Google also said that 2025 was an outlier, in large part because of the following:

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• The Post-Pandemic Surgery Spike: Hospital and medical expenses rose by 14.8%. Older adults and Medicaid enrollees went to the doctor, received joint replacements, and utilized healthcare services at a rate far higher than insurers had priced into their premiums.
• Medicaid "Unwinding": States aggressively removed millions of people from Medicaid rolls who had stayed on the program during the pandemic. Private insurers lost a massive chunk of their steady government-subsidized revenue.
-Massive Non-Cash Accounting Hits: Some large players suffered anomalies that dragged down the entire industry math. For example, Centene (the massive Medicaid insurer) posted a staggering $6.7 billion net loss due to a one-time non-cash accounting adjustment ("goodwill impairment charg
• The Expiration of ACA Subsidies: As discussed earlier, the transition out of enhanced premium tax credits caused millions to drop coverage or move to cheaper, less profitable plans.

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Even if the profit margins were low for the Big Six for 2025, that's the point. From Google again:

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UnitedHealth Group's 2.7% margin yielded over $12 billion in pure profit, simply because they took in an astronomical $447.6 billion in revenue

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That's the point. They have simply expanded operations to keep profits in the double-digit billions even if their margin is low.

That's the whole game.

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The 5 largest health insurers had 0.8% profit margin in 2025.

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Now do non profit or government financed healthcare providers.

Especially large hospitals with large marketing budgets dropping millions in advertising and sports sponsorships.

We have to raise your treatment costs while we drop a few million in athletic sponsorships. The whole guise of a nonprofit healthcare entity is going beyond absurd in game of profits especially when it comes to high level executive pay.

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Bc premiums didn’t rise every single year before Obamacare

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They did, and in some segments of the market they rose even faster pre-ACA.

However—and this is one of the biggest pieces of the shell game that people often miss—DEDUCTIBLES rose exponentially faster after the ACA.

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what have republicans tried to do to fix it since they’ve had the reigns for 2 years so far?

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Fix what? Obamacare, or health insurance?

If you mean the former, there are four provisions in the Big Beautiful Bill that address the ACA. But guess what?

They actually support it and shore it up.

All you have to do is educate MAGA that Trump thought it was a good idea to keep the ACA and that he deliberately passed a bill to shore it up and they'll stop complaining about it and like it instead.

Now do it before advertising and NIL budgets.

How many of these hospitals are running money laundering operations for sports leagues?

It is a no brainer anyone could run a business with a zero profit margin if all the profits go into advertising or building new buildings.

When was the last time you saw an old run down hospital except in a rural rundown area? Most hospitals have been on a building spree instead of keeping rates reasonable.

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So the insurance companies wanted to profit more...until the system failed and they went away altogether?

Yeah, o.k. That's logical

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You are assuming the insurance companies were the decision makers here. They weren’t. They had a big impact on the details, but the deciders were the Democrats whose main priority isn’t making money for the insurance companies; it’s ratcheting us towards socialism as fast as possible.

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Now do it before advertising and NIL budgets.

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Average non-profit hospital has a marketing budget of about 7% of gross revenue. The average across all industries is 7.8%.

If my post history is your best argument, I guess you've already run out of things to say about the actual topic. Try again.

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Still waiting on an alternative from the glorious business man.

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The one that has been introduced and is being stonewalled by dems?

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You would think that generators would have been in its building plan instead of getting it from state tax dollars through capital outlay.

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probably dei hires running the place