Biden, as part of the 2022 Inflation Reduction Act, largely resolved these problems, reducing maximum premium payments (net of subsidies) and eliminating the cliff at 400 percent. The result is to make health insurance coverage substantially more affordable, especially for middle-income Americans who previously earned too much to be eligible for subsidies. Hence the surge in marketplace enrollments.
I’m all for democracy, but I think that this is sadly the end result - When governing becomes the goal, governance takes the back seat. Being president or prime minister is simply too lucrative.