I think they're victims of gluttony, not the ACA. Live a healthy lifestyle, get to a reasonable weight and then see if they can lower their healthcare premiums. That should be the number one priority.Good friends and an extremely nice family were paying $11,000 per month for health coverage, back in 2014. He ran a small renovation business and he had to work hard to make the health care payments. RE renovation was booming back then so he was able to cut it but just barely. Also, the entire family is obese and I think every one of them has type 2 diabetes, among other things.
He was a victim of the Affordable Care Act. The ACA reduced the cost of insurance to most Americans but it screwed over small business owners. Suffice to say, he was not a big fan of the policy.
I've never followed up to learn how that is going. I'm too scared to ask. He is still in business, though.