Failure to deal with the nation ending enormous failure of the "free market" solution to a social issue of health care
Sadly, the healthcare market in the US has not been free since the 1940-ies. During the War the government sought to limit workers' salaries, so, to attract talent, employers started offering "benefits" — like health insurance. This separated payers for health-care from the consumers of it — triggering the spiraling costs as the patients demanded the very best, while blaming the insurers for attempts to keep the costs sensible. The government compounded the problem making such benefits tax-deductible for employers, without counting them as taxable income for the employees.
Actually freeing the market would've helped — but, for some reason, the "reformers" were dead set against the competition (without which the market can not be considered free). Even buying a health plan from a different State is illegal, certainly not from a foreign insurer. One can even be forgiven for thinking, the sabotage of the market was deliberate — so as to allow to claim "market failure" and finally give the politicians the power they all tend to crave after 2 or 3 terms in office (some even sooner).
Instead of freeing, the market got under an even harder government control. Yes, control of that same benevolent omniscient government, that can not consolidate freaking datacenters... But don't worry, they will know, how to best allocate your monies (that you paid in taxes through your life) to your healthcare — that you will need primarily after retiring...
Oh, and the actual government agency ensuring compliance will be the same one, that already picks targets for audits and scrutiny based on the taxpayers' political persuasion. Are you honestly claiming, healthcare will improve in such circumstances? Will you really be surprised to learn, 30 years from now, that Conservatives are having their life-support turned-off, say, 30% sooner, than Progressives because the local "Independent Payment Advisory Board" (a.k.a. "death panel") decided against their case?