"Top US health insurers' profits surged after the Affordable Care Act (ACA) due to a significant increase in government-funded programs like Medicaid expansion, strategic mergers and acquisitions, and a shift towards private insurance plans with higher premiums and deductibles. The ACA expanded the number of people with insurance, boosting overall revenue, while subsidies and higher payments for Medicaid managed care provided a massive financial influx for insurers."

And insurance company profits soared. Recall, when the ACA was in Congress, an amendment was proposed to allow people in their 50s to buy into Medicare. The amendment went down in flames, because it didn't help the private insurers.

Nothing new under the sun department. When Bush #43 pushed Medicare Pt C and D through, they were specifically designed to shift Medicare dollars through private insurers, so they can be skimmed. That is the only sort of program that can get through a bought Congress. Bush suppressing a more accurate estimate of the cost of Part D, until after it was passed, was just an extra insult to "We The People" by another corrupt, bought, pol.

If the democratic socialists and the MAGA base pooled their votes, they could unhorse the bipartisan donor class. But the donor class has the money to spend on propaganda, to push wedge issues to keep the socialists and MAGAs fighting each-other.

Steve