Actually, dingbat dupe, the cost rise curve has bent down slightly despite GOP sabotage. Criminy the costs went up so fast before ACA it was ridiculous. Those people did not refuse to buy insurance, there was no way they could afford it. In blue States and a growing number of red States, the poor Etc (up to 130% of poverty for you fox bots who appear 2 know nothing) are on Medicaid now, no more expensive for the system than the old ER and bankruptcy non-system. Again, the problem in the USA is the ridiculous costs of everything in the GOP scam.