@#1 ... It becomes a "death spiral", ...

Well, yeah.

Pres Trump's solution seems to be to buy off those who need healthcare support with a $1500 check to their personal healthcare account.

OK, that may cover 3 or 4 months of the increase in cost that people may be experiencing.

So, then, what happens after that short period?

At the risk of being repetitious ...

...
Candidate Trump on healthcare:

May 21, 2015
I'm not going to cut Medicare or Medicaid.

Sept 25, 2015
Everybody's got to be covered.

Feb 17, 2016
We're going to have great plans. They're going to be much less expensive and they're going to be much better.

Oct 25, 2016
You're going to have such great healthcare at a tiny fraction of the cost, and it is going to be so easy.

Nov 13, 2016
It will be better healthcare, much better for less money. Not a bad combination.

"I'm not going to cut Social Security like every other Republican and I'm not going to cut Medicare or Medicaid."
-- Trump to the Daily Signal in May 2015

"We will immediately repeal and replace ObamaCare - and nobody can do that like me. We will save $'s and have much better healthcare!"
-- Trump tweet in February 2016

Pres-elect Trump on healthcare:

"We're going to have insurance for everybody ... There was a philosophy in some circles that if you can't pay for it, you don't get it. That's not going to happen with us."
-- Pres-elect Trump to the Washington Post in January 2017

Pres Trump on healthcare:

"Our healthcare plan will lower premiums & deductibles -- and be great healthcare!"
-- Trump tweet in May 2017
...