Diving into this discussion without reading every comment, but IMO (and of course not just I but many others, including all the major modernized governments in the world), health care should not be a for-profit business. Naturally, providers and researchers should be compensated sufficiently, but there should be no health care and drug companies selling shares and seeking benefits through politics at the expense of the citizens of this country. Insurance companies should have much less involvement, if any, in patient care. Health care is a public, not private, issue. If the ACA had been implemented as was originally intended, it would have had far fewer problems, but it was hamstrung from the beginning for political reasons.