The 300% increase is because of Republican cuts from OBBBA. Republicans continually do things to reduce the quality and deliverablity of care from these markets. That's the thing, every "failure" can be traced back to Republicans enacting law that greatly affects the overall success of the program.

What's even more interesting is how flexible the market has been in spite of Republican meddling. But the ACA has offered new avenues for people to have insurance when their situation wouldn't have qualified them for such. This has provided a much needed peace of mind to a large segment of the population.

For all the things that Republicans tend to throw to deride the program, it continues to provide coverage for people in ways that lawmakers don't always foresee. And that has provided care to people who usually would not have care. Allowed people to go on to make small businesses that would not have otherwise taken the risk. Allow people to get regular checkups and routine care that would have otherwise gone without.

Republicans have a funny definition of success in the medical domain. Once that circles around dollars to care, when the goal should be amount of care. Or at least in my most humble opinion, we should look at the amount of care we provide to the population as a metric of success. To then toss dollars on top of that metric really begs the question of what is the worth of a person's life? Yes, the ACA lacks a single provider negotiated benefit. Republicans have sought to never allow that to happen. Don't get me wrong, that's a very clear loss for the ACA program, but again, that's at the behest of Republicans.