Unless they sabotage it, which is well within the scope of possibility.
Over the past year, the Affordable Care Act’s marketplaces for individual health insurance purchases have been rocked by a series of bad stories. A lot of insurers have raised premiums, and a lot of insurers have decided to stop participating in the program, which encourages those that remain to raise premiums. The higher premiums mean that for a certain number of more affluent and relatively healthy consumers, it makes financial sense to simply pay the penalty rather than purchase insurance. Removing relatively health consumers from the marketplace, in turn, encourages higher premiums.
If that cycle were to simply continue unabated, the law really might implode. But CBO says that’s not what’s happening:
The ACA’s most enthusiastic proponents had higher aspirations for the marketplaces than that. But the point is that this is still a stable and workable outcome. There is no implosion that people need rescuing from.
http://www.vox.com/policy-and-politics/2017/3/14/14921594/obamacare-implosion-ahca
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