From the beginning, proponents of The Affordable Care Act conflated the argument that the rising costs of healthcare were due to people without health insurance. They ignored the fact that most Americans have health insurance, and they failed to admit that the rising costs of health care have been ignited by players such as the medical insurance industry and big Pharma which were integral in crafting Obamacare.
About the only quibble I could offer is later:
Cost control will be the driving force to keep the system operating; therefore, rationing of care will be inevitable.
The driver is actually the growth of bureaucracy. Over time, the cancer eats more resources to fund new bureaucracies that mostly produce acronyms.
This will hold true even after our existing system is blown up, and Single Prayer comes to (en)s(l)ave us.
In Eternity, this shall not have mattered much. But here under the sun, the deceit involve in all this is just staggering.