Billy, you must have just come into the healthcare world if you think Obama had anything to do with current dysfunctionality.  Prior, repeat, prior to ACA health care costs were already rocketing at double digit rates. What ACA did do for example, was push the medical industry into modern admin programs. It was something they knew they needed to do but were stalling.  Today, they would never go back to those legacy programs, most were even pre Windows.  Attorneys have been suing since they could, drug companies gaming the system equally as long. Can you explain the "patent" scam on a drug for example?