Several years ago, back in 2006, I bought the book, The New Health Insurance Revolution, by Paul Zane Pilzer, and I’m so glad I did, because I wanted to look back and see what health insurance costs were back then, vs. what they are today. It serves as a good reminder that high risk pools did work, and helped keep insurance costs low for the masses of healthy insurance buyers. It also reminds us that high risk pools, while more expensive than insurance plans offered to the healthy, can be offered on a sliding scale of income and still be affordable, even for those with pre-existing conditions. (Note: Pre-ACA, Cover Colorado, for example, was offered on a sliding scale of income. Rates shown in picture below do not display sliding scale discounts). What the ACA did was essentially turn Health insurance into a costly high risk pool for everyone. This is evident by comparing historical insurance costs to the cost of insurance today.
See the following pictures. Rates are based on a 33 year old person with similar individual deductibles.
2006-From The New Health Insurance Revolution