I'm not sure if you're being downvoted here, but I think this is the right answer. The major problem in the system and with the ACA is that it continues to try

I'm not sure if you're being downvoted here, but I think this is the right answer. The major problem in the system and with the ACA is that it continues to try and operate health care in a capitalistic free market. Due to the lack of choice by patients and the fact that they cannot reasonable refuse needed care because of price, the system falls apart. I believe the only acceptable solution is a single-payer system where the government is able to set pricing limits on services - like medicare/medicaid already work. This is the only way the costs can be reasonable for the consumers of the care.