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I read an article on the uptick in premiums the other day pointing out that it took insurance companies a few years after the passage of the ACA to figure out what the rates should really be, they had to adjust to the fact that now they had to cover more people with pre-exisiting conditions, etc. They found out that Americans as a whole are a lot sicker than was expected. And since they are "for profit" companies they have to raise premiums and cover less in order to make a profit. Furthermore, the ACA has no bargaining power for costs like Medicare does. Even Medicare Part D (the drug part) can not bargain to get lower prices on drugs.
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