[quote=livinincali]As I see it Obamacare will likely cease to function if they can’t get costs under control. There’s nothing that forces an insurance company to operate in the exchanges and if costs continue to rise and healthy individuals drop plans then the insurance companies will just stop offering plans in various markets. It might end up worse than before. [/quote]

Unlikely to happen. Under the ACA, insurance companies have no incentive to get costs under control, except to remain competitive with other insurance companies. There are no limits as to what they can charge, so long as they use the statutory percentage for health care.

There are no new sudden cost increases under the ACA. There is a continuation of cost increases that dates back decades. And that includes both costs of medical care and premium costs. There were safeguards in place under the original law, to allow small insurance co-ops to succeed during the first few years, in case of catastrophic losses. Those safeguards were removed, guaranteeing failure of some of these coops. But the large insurance companies are doing just fine in most states. In states they’re not doing fine, they’ll figure it out. Their business is medical insurance. They’re unlikely to abandon controlled markets for their products.