I vaguely remember when hardly anyone but the very rich had health insurance.  Generally, the medical profession charged no more than what the patients could actually pay.  In many places, setting a broken leg was "3 chickens and 2 dozen eggs".  Removing an infected appendix was "a hind-quarter, some back-strap, and a bushel of corn".  Then the insurance companies got big enough to spread the risk over a wider base ... which encouraged the medical profession to gradually increase their rates, because the insurance companies had deeper pockets ... to which the insurance companies responded by increasing their rates ... to eventually lead to the ACA.  Now we are much healthier, because we simply can't afford to get sick or injured.  We are no longer patients.  We have become a commodity.  We are "content" for the insurance/health video game!