It's not just the cost. It's the incredible inefficiency of the operations, and, the gerrymandering of coverage. Under the ACA, I had to choose between allowing my family to continue to see their lifetime care givers, or, paying in network rates, for the full year, because the insurance company I chose gave me incorrect information when they were trying to get my business (my wife is less kind in evaluating their motives). I paid $30,000 in health care expenses out of pocket that year for what was essentially a healthy family. I was not permitted to change insurance companies once I learned they had misled me.

Buffet calls them a tapeworm, I call it the next, ongoing rape of the American middle class.