quite simply, there is no economy without consumer demand for services. and consumers who pay higher rents to their health insurance company have less money to spend. the money doesn't ever trickle back down into the economy once it is lost inside of the insurance system.
nevermind that millions of people have lost their employer-provided health insurance after being laid off. for them, these discussions of health insurance premiums rising are a bit academic; there is no chance of care being accessible or affordable, even if the monthly toll of maintaining expensive insurance is rising astronomically.
it's clear the the US healthcare system cannot continue in its current form. it is my hope that people will no longer entertain delusions of perseverating the present system. it's decidedly non-serious to consider that the ACA might be reformed further to keep the current system.
the only true debates remaining are about how much of the healthcare system should be under the public's control, which we can boil down to two camps: above 70% public ownership, or above 40% but less than 70%. the former camp includes ideas like single payer and medicare for all, whereas the latter camp includes hybrid systems which are closer to switerland's or germany's systems.