The only way we will know if the wealthy pay or if anyone pays their fair share is if we have a simple and completely transparent tax system.  As far as the ACA/AHCA/whatever "insurance" healthcare system goes, I can only support it if it leads to single payer and then eventually to market driven health care.  Before your jaw drops, market driven health care will only arrive when man/woman becomes far more rational (My nod to Libertarianism).