living here for a while
and being from a pinko-commie-socialist-facist ally namely the uk I seem to have noticed a few things.
A lot of us out here ( the us meaning Americans, since I am one now) have the attitude of "I got mine forget you" which is part of this whole shebang.
I have health insurance, I do not need it (yet) so ACA does not really bother me, so therefore it is just tough bananas if you do not have your own insurance, maybe you should get a job that has it.
At least that's sort of the way it seems, those who have are shouting the loudest because they think those who have not, or cannot afford, should not a get a free ride on their dime.
The chances are these people already have insurance, and do not think about it, they have theirs...
Many never knew the massive limitations on the whole private insurance system, limited coverage, denied claims ( yes I suppose with the right spin, they could be called death panels, but it is private so it because loss prevention or limited risk or something) the private companies love someone like me young enough, healthy only time I see a doctor is on TV etc.. my insurance is dutifully removed from my paycheck etc...
They hate...my wife, a type 1 diabetic and my daughter... a type 1 diabetic
damn them! they are sick
however, given the amount I pay per month and the amount the insurance pays out, they are still in the black.
sad really.
not everyone is like that of course, but a lot of the people I work with are ( these are, interestingly people with what could be considered a deniable pre existing condition too though workplace insurance cannot refuse coverage only private... well now they can't do that either!
as for costs... yes medical malpractice lawsuits need to be reigned in a lot. Human + sharp things + induced coma + big holes in body are generally a recipe for things to go wrong every now and then.
but the cost of education also has a part to play... doctors that come out of school with debts that would buy a nice house and car.
we need multiple area reform to get the whole system working better, however I feel there are too many people with a piece of the pie that prevents things from moving anywhere but in their favour.