Obamacare repeal on the way?
They're keeping the "don't discriminate against the sick" clause but removing the "everyone should have insurance" clause. I think this is a problem as far as actual insurance premiums go. Young single people are just going to not get insured, which is going to push up premiums on those who cannot afford to go without insurance - sick people and people with families. And that's going be even more of a disincentive for the "well" to get private insurance.
Spreading out the pool of insured people as big as possible dampens the
already existing high medical cost inflation, which was actually lower than before Obamacare. The 20 year average inflation in medical costs is
3.7%, while it was 2.5% in 2014, 3.5% in 2015. So there's been no spike in medical costs above what normally happens anyway, in fact it's been lower than average.
Also boo to rolling back Medicaid, which is probably just about the most efficient system you guys have there.
EDIT: The idea of universal insurance mandates isn't just governments being busybodies, it's based on sound principles: if only the people who definitely need payouts get insurance then the whole insurance market falls apart. e.g. let's use the metaphor of fire insurance. If it's optional and you're not taking risk into account ("pre-existing medical conditions"), then people could effectively only sign up for fire insurance as soon as their house is actually on fire. That's the equivalent situation. And as a result, their fire premiums will be exactly the same as the actual amount that's needed to pay out, rendering the whole situation moot.
The "pre-existing medical conditions" clause pushes up the price of insurance, but it protects vast swathes of people who would otherwise languish in agony and/or die horrible deaths. The universal insurance mandate pushes
down the price of insurance, because it spreads out the costs to more people who aren't in immediate need of a payout. Expanding Medicaid also keeps the price down: because Medicaid is a competitor to the private firms and competition drives prices and overheads down.
They've basically removed the anti-inflationary aspects of Obamacare but kept the inflationary ones. I'm kind of wondering what the health providers actually think of Trump's plan.