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The mandate was more then that. The mandate was/is needed to compel younger, healthier people to buy insurance to spread the overall costs out. Which is how insurance works in the first place.
That’s what meant. The insurance companies would get on board to cover pre-existing conditions without the promise of a pool of healthy people signing up. I assume the hope was that premiums in general would be lower as well and that seems to be reflected in slower premium growth.