It’s simple. One of the original tenants of the ACA was to provide subsidies for most people earning up to what would be the upper middle class between this and the insurance mandates, it would prevent the death spiral where only the sick would sign up for it, making the cost go up until it was almost unaffordable to anyone and unprofitable for the insurance companies making them leave the exchange.

The first blow was when the Supreme Court killed the mandates. The second blow just happened when they killed the subsidies last year.