re: #51 dog philosopher

The insurance companies wont revolt because they’re getting paid handsomely to do these exchanges.

They set the rates (after approval by state insurance officials), and the premiums are listed. The insurance company gets paid the full cost of that premium - the insured pays a portion (or all if no subsidy) and the government pays the subsidy if the person is entitled to a subsidy.

Insurance companies will play all kind of games to maximize their profits and limit their exposure, including limiting their in-network networks (doctors/hospitals), or other actions that are within the law, but that’s something they’ve been doing all along.

Insurers were heavily involved in the development of the ACA. They benefit from a working exchange - and that includes fixing a whole bunch of legacy issues on their end - lots of legacy systems that have to be updated to current systems, etc.