If you are self employed or work at a small company, then insurance is a big deal. I'm going to pay $6K a year for crappy insurance and I'm still going to pay $7k out of pocket expensive this year because my son had to have surgery and our deductible is 7500. So I think the insurance situation sucks. And I got a notice yesterday that they are raising my rates again. For small business that want to cover the health insurance for their employees it is also a big expense and one that keeps rising. It amazes me that insurance companies can raise rates 15-40% a year and get away with it.
As far as saving up for college education, that is not as difficult because it is a matter of living within your means. Make it a priority and save. That said I have different views on fully paying for 4 years of college vs. having my kids pay part of their way. My parents put me through my first year of school and then I was on my own. I tended to work hard at school (to get it finished) than those I know who's parents were footing the bill.