He hasn't created anything. Subsidies are the law. Insurers must offer them to low income people. The Fed reimbursement to insurers is what trump did away with.
So insurance companies will continue to get screwed by Republicans, who cut all funding for risk corridors, and now cost sharing.
They were promised guarantees, in exchange for accepting people with pre existing conditions, as well as for the mandatory minimum coverages. Like trump, all Republicans cannot be trusted to adhere to agreements.
Subsidies for healthcare are yet another freeloader social welfare program giving those that won't do for themselves something they didn't earn.
Getting a bunch of fucking wing-nut Trumptard goofballs to spit, slobber and drool down their chins is just too fucking easy!!!!