It was to lower health care costs over time I'm not sure how this is possible. The other goals you mention are feasible, but only to the extent that they prev

It was to lower health care costs over time I'm not sure how this is possible. The other goals you mention are feasible, but only to the extent that they prevent cost saving. the chief goal of the ACA was not to lower your premium Well, it was intended to lower some, and raise others. People with preexisting conditions cannot be insured. They can only be subsidized with something falsely called "insurance". The losers in ACA are pretty much the same as with single payer: The young, healthy, and productive. Call it fair or unfair, the situation is much different than with single payer in that ACA is going to let people see just how much they themselves are getting boned.