know president donald trump want blow disaster obamacare months however late vision bring good healthcare people america actually stop billions dollars payments health insurance company serve poor enrollees affordable care act.if president stop payments entire health insurance system throw complete chaos result high price few choices consumers insurance company would likely increase premiums people use exchange healthcare.gov cover california stop sell altogether without trump payments aspect healthcare simply fall apart watch.the main issue behind cost-sharing reduction csr payments reimbursements health insurance company make order reduce out-of-pocket cost deductibles copayments low-income customers house republicans file lawsuit 2014 still pending obama administration question legality payments accord one white house official trump administration agree make csr payment month may make commitment donald trump say healthcare system january pre-inauguration speech easy thing would let implode 17 believe get pretty much whatever want trump unhinge mind end refer bailout payments would force democrats negotiate repeal affordable care act however seem keen majority american people 60 percent state approve negotiations disrupt insurance market accord survey conduct last month henry j. kaiser family foundation three-quarters survey also believe aca keep run two-thirds include majority republicans believe repercussions problems stem change healthcare usa sit squarely president trump shoulders.still president continue ignore advice give remain favor cut payments eligible cost reduction enrollees exchange earn 250 percent federal poverty level equal 30,015 per person csr payments make government deductibles thousands dollars reduce hundreds consumer subsidy receive seven million people november 2017 january 31 year equate 58 percent exchange enrollees.without trump administration make csr payments insurers would need raise premiums average 19 percent top price increase next year.featured image via mark wilson/getty image trump might viciously sabotage healthcare try blame obama detail