This is a terribly written bill that has been sold to their constituents with a complete lack of understanding of the health insurance industry and healthcare in general. Everyone will need healthcare at some point, and yes, it gets more expensive as you get older and more sick. The only logical way to allow everyone to be able to afford it as their costs rise with age, is to have everyone pay in to the pot as soon as you can. This is so that everyone shares the burden (because you will need it at some point) and NO ONE gets destroyed in the process. And to act like saying that is equivalent to socialism, is extreme cognitive dissonance. Diffusion of risk and limited (or excluded) personal liability is literally the reason why corporations exist. I don't understand how these congressmen (and the GOP in general) don't see that and sell this lie to the people they represent.
Furthermore, acting like "selling across state lines" is all that is needed to bring costs down is horribly ignorant. Insurance companies can already sell across state lines in a lot of states, and guess what, none of them do it. It's not as simple as finding a building and opening up a chain restaurant that everyone is familiar with. People can just see the sign and walk right in and eat. With health insurance, you have to go into an entirely new market with no data on the type of person you are seeking to and absolutely no existing relationships with healthcare providers in that state. If you don't have any healthcare providers, you can't have an insurance plan. So you would have to pay those providers a higher rate than they are currently making with plans they are familiar with, which would then cause the rates of your premiums and deductibles to go up. Once that happens, there won't be much of a market share for you to pick up in that state and you will have to close up shop and focus on the state you are familiar with. These congressmen already know this. The only reason they are pushing so hard for it is this bill comes with plenty of tax breaks for them and their friends.
Not only that, but the constant attacks on the ACA are completely unfounded. No, that doesn't mean the ACA is perfect and couldn't use some tweaking. But premiums and deductibles on the marketplace aren't rising because of any legislation. Insurance providers did it to themselves. Here came an entirely new market of uninsured people, that no actuary could accurately say how much it would cost to provide insurance. This caused a market frenzy where the insurance carriers in each market cane in with extremely lowball offers assuming that there would be enough healthy people that signed up that it would minimize any risk to their bottom line. They didn't care about losing money up front, it was more important to them to grab the largest market share knowing that most people keep the same insurance for a while rather than going through the hassle of changing. So where a family of three would normally pay, say $1,000 a month on current plans, they charged this new marketplace $400 a month, which was an even lower cost to the consumer due to subsidies. So if you want to quote a percentage premium increases of 65%, that would only bring that premium up to $660/Mo, which is STILL less than other plans on the market without even factoring in the help of subsidies to this consumers. However, insurance companies lost hundreds of millions of dollars in that first year on this one new line of business. Lots of factors led to that, including the fact that this population ended up going to the doctor way more than any projection predicted. However, the "rise" in premiums on the marketplace was not just to make those people pay more, it was a market correction so that insurance companies could still provide the service without losing as much as they currently were. And to add to that point, if as Trump says, that the left only wants the ACA because of insurance company lobbyists, then that makes no sense because they stand to make much less on the ACA than they would with the AHCA. So if they lobbied for anything, it would be for this current legislation.