This kind of thinking is wrong, stupid and dangerous. Yes we still pay $750. If someone's insurance pays $750 for a pill then all the people on that policy will

This kind of thinking is wrong, stupid and dangerous. Yes we still pay $750. If someone's insurance pays $750 for a pill then all the people on that policy will end up paying it. This is true whether these people use one of the ACA insurance plans or not. Saying "oh duh medical billing is just so complicated and convoluted, i guess the money just comes out of the ether." is wrong. It is actually not that complicated. If a drug company charges medical insurance companies really high prices, all people that pay medical insurance (even those not using that particular drug) end up paying these high prices through their premiums.