Yeah, this isn’t really a surprise.
For one thing, coverage lapses of more than two months would be pretty common under the GOP bill, because lower-income consumers who struggle to pay premiums would be getting less financial assistance than they do today. More important, the CBO pointed out, allowing insurance companies to vary premiums based on medical conditions even in some cases would inevitably create a bifurcated insurance market.
Insurers would end up setting up two sets of plans ― one with medical underwriting and one without. Healthy people would flock to the underwriting plans, since they’d be eligible for cheaper coverage there. The older plans would be left with a relatively sicker population, forcing them to raise premiums for everybody still enrolled in them and thereby encouraging more healthy people to leave ― until, eventually, those plans had shrunk to small groups of people with big medical problems.
Premiums in these plans would be much more expensive, and in many cases downright unaffordable, making access to them for people who had maintained continuous coverage essentially meaningless. As a result, the CBO concluded, “People who are less healthy … would ultimately be unable to purchase comprehensive non-group health insurance at premiums comparable to those under current law, if they could purchase it at all.” [emphasis mine]
It’s a feature of the Republican plan, not a bug. Just like 23 million people losing their health insurance. Just like their only reason to gut Medicaid is so they can cut taxes for the wealthy. They can talk all they want, but the GOP’s health care plan, just like their proposed budget, tells you all you need to know about them.