Easy, there are doctors who will perform their services for a lot less than the health conglomerates charge.
My local heal conglomerate hospital chain charges $250.00 for basic blood panels. I go to a local gal who does the draws, sends them to a national lab and I get my results back for only $40! There is a local doctors office who charges $1,200/year (for both me and my wife) and that includes all his services and you can see him as many times as you need in a year. That includes the yearly checkups, mammograms, pap smears, prostate cancer checks, ask whatever questions you want and whatever is needed all included in the price. Local heal conglomerate hospital chain - they charge you for EVERYTHING. You ask a question during your normal yearly exam that's an extra charge. And when your on an HDHP like pretty much the whole country - your paying for it all until you hit your eleventy jillion $ deductible - which most never hit.If you have health insurance you can submit a claim for these services, and get credit for it and not pay through the NOSE for health care. You just have to know how to "play the system" against itself. Most don't bother, they would rather someone else do the work for them or pay for them because they are too LAZY! You don't need the ACA to do it.