To be clear, some who buy their own insurance on the individual market got a better deal before the ACA — the relatively young and healthy who also earn too much to qualify for subsidies under the health care law. And there's evidence that some have lost or dropped their health insurance coverage even as many more have gained coverage in recent years. But, again, the numbers presented by researchers on insurance gains under the ACA are net. That is, the numbers account for those who, as Trump said, "aren't insured anymore."