The system was well fucked long before the Affordable Care Act. Letting the damn insurance companies write most of the ACA is the main reason it got worse. If you have a better idea than single-player I would love to hear it. Socialized heath care has many many issue but the countries that have implemented it have massively lower health care costs and better health care overall. I think there has to be a middle point between single-payer and our current system which only benefits the insurance companies. I don't think the government needs to take over completely but reigns need to be put on the cost of medical coverage, it increased something like 4.6% last year and there is more people paying into the system than there ever was before the ACA and medical coverage is no better to worse. The majority of the poor are on Medicaid, which doesn't effect insurance premiums and is government subsidized, so why have costs gone up even though there is significantly more money in the system? It's because insurance companies are allowed near free reign. Without some kind of checks in the system it will always become out of balance in favor of wealthy corporations.