How do you figure? Please elaborate on this. I don't see how subsidized premiums and guaranteed coverage would be a detriment to freelancers... Yes, the cost of healthcare was cheaper back then, but it likely would have risen more without ACA.
https://wire.ama-assn.org/ama-news/growth-health-spending-sl...
Also, regarding out-of-pocket spending: https://www.bloomberg.com/opinion/articles/2018-01-04/out-of...