Young people will now pay more for insurance so that coverage on older people, the richest segment of the US population, will not have to pay so much. Even though the richest segment of the population is the largest consumer of health care dollars.
That's why Medicare has gone broke. That's why Social Security is going broke. Too few paying in, too many taking out.
This stuff is Underwriting 101, it doesn't require thoughtful solutions. There are none.
Individual health insurance policy - Premium is based on
your health and lifestyle.
Ride motorcycles? Premium up. (the premium should be lower since you'll probably be turned into road pizza ergo, no health insurance claims)
Exercise? Premium down.
Fat? Premium up.
Smoke? Premium up.
Group health insurance policy - Based on the overall health of the group. When that cannot be determined, actuarial data and information (if available) about the members of the group are used to develop rates. The more healthy people in the group, the lower the rate. If you are in a small group and have unhealthy people in the group and you are experience rated, your premiums will go up. No pre-existing condition exclusion? Premium up. Why? Because the risk is 100%. It's not
if this group of people will have claims, it's when.
Insurance companies, any insurance company, have 2 primary functions;
1. Assume risk.
2. Pay claims out of the premiums collected.
Insurance companies are a tiny cause for the rise in health care costs. What's the big cause? Medical procedures, both the cost of them and the number. Everyone wants the best health care and since 'someone else' is paying for it, they get it. Medicare and Medicaid would have gone broke a long time ago if the private sector wasn't around to make up the difference. What do I mean? Assume it costs a doctor $100 to perform a procedure. That's $100 just to cover their costs, e.g., paying staff, electricity, etc., no profit rolled into the $100. Medicare reimburses them $5 (no joke - this happens). Where does the other $95 come from. Where else can it come from, non-Medicare patients. Guess what that does? It drives up the cost of private insurance because they are subsidizing Medicare, which in turn drives people to opt for the cheaper 'government' insurance. Which means private sector premiums go up even more. See the logical conclusion of this death spiral? Everyone on the government plan. When this happens, how will the government control costs when the private sector subsidy is gone? The only way that's left, limit the number of procedures performed, i.e, rationing.