North Carolina only has one insurer now that covers the entire state (Blue Cross Blue Shield of NC) -- this is also directly attributable to ACA.
ACA was a giveaway to the Insurers and Healthcare industry. In fact they wrote most of the ACA bill included the part about Insurance companies never taking a loss. Of course, this part blew up on the Insurers when Congress eliminated "Risk Corridors" recognizing that automatically providing Insurers a profit was outright ridiculous.
As I stated many times before, if the U.S. was serious about universal coverage then they need to implement a public plan like many other western nations. Obama had his chance and blew it - instead providing ACA as a giveaway to insurance & healthcare industry driven by lobbying money.
Having one heath insurer that covers the entire state isn’t a bad thing. Most insurers cover by county and most do not offer coverage in all counties.
I will say again Obamacare didn’t blow anything, it was definitely an improvement. I do agree that the whole system should have been scrapped but there was no appetite for that at the time. We could not even get a buy for Medicare through.
So yes we worked with the broken system we had but if you repealed Obamacare you would not be better off either.
Our system is just outdated, inefficient and expensive. We need to move into a universal system.