Read the following paragraph and determine if the hypothesis is true:

There's a -- no, look, there's a systemic problem. Health-care costs are on the rise because the consumers are not involved in the decision-making process. Most health-care costs are covered by third parties. And therefore, the actual user of health care is not the purchaser of health care. And there's no market forces involved with health care.

Hypothesis: Health care is the major expense for Americans.
It's impossible to say