One of the (un)intented consequences is the 80/20 rule. The government is mandating that Insurance companies pay out 80% of intake on claims. Only 20% can be allocated to rent, salaries, utilities, salaries, etc. No health care company can make that 20% last to pay all expenses. Therefore, I believe they simply charge higher premiums to have the 20% turn in more dollars to cover expenses.
Beware of the single (government) system. Does anyone believe that Government will get by on 20%? past experience seems to indicate that it will become 130-150% That will ultimately correspond to even higher premiums.
Feel free to believe what you want, here’s a fact for you. Premiums are regulated and approved by every state. 50 to comply with for any big insurer. (pubs “claimed” to fix this as part of their solution, along with tort reform) Premiums are not arbitrarily set, and if there is excess it goes into reserves.