Yeah, we have market failure layered on market failure. If our system was so great, surely the rest of OECD nations would emulate it? We don't even have better health care outcomes than the French, Italians, Germans, Japanese, Koreans, etc. Basically, if you're an OECD country, you have a more efficient health care system.
I agree that the aca was a crap answer to the problem. But I also believe it was the best we were likely to get. And, based on what I have seen so far from a relative's experience, it is an improvement, at least for most.
But what I most hope for is single payer. Medicare for all would be just fine with me. But we would have lost that battle. Health insurance companies own too many politicians and spend hundreds of millions that would have sidelined single payer, in my opinion.
What I most like about the aca is that it is a
LAW THAT CAN BE MODIFIED. People are going to like a lot of the ACA, and the cons know it.