There is a very valid reason that hospitalization only insurance was not allowed.

The whole point of requiring everyone to get insurance is so that you don't have just the sickliest and oldest people getting insurance. Insurance is meant to spread the risk amongst everyone who pays premiums.

Additionally, not having insurance for primary and non-emergency care will make it much less likely that people will even end up in the emergency room. (No checkups, no outpatient)

Even worse, having emergency room coverage only encourages people to use the emergency room more often than they should.

Though I wouldn't expect our last president to have much of a handle on economics and business, considering his track record. Either that, or he was purposely trying to destroy the program (he was, but it was probably both reasons).

> The whole point of requiring everyone to get insurance is so that you don't have just the sickliest and oldest people getting insurance. Insurance is meant to spread the risk amongst everyone who pays premiums.

So why did it make the insurance costs skyrocket?

Well another provision of the ACA was the 80/20 rule, Insurance Companies have to spend 80% of premiums on care or refund the customers. So their overhead, salaries, etc was limit to the remaining 20%. Sounds great until you think it through a bit and realize that for them to increase their profits they need to increase premiums, they also then have to increase the payouts and the Hospitals, Doctors, Anesthesiologists, etc.. are all fine with getting paid more. So there you go higher premiums to cover their increased $ value of their 20%. Everyone in the system except the patient benefits from increasing prices.