The biggest issue with Obamacare is the increasing fees Doctors and Hospitals continue to make. You can be on an ongoing need for services and see increase in those fees for the same procedure about every three months.   No insurance company has ever lowered premiums when they pay more for what the provide: paying all or part of fees for services.  The myth that a new Trump plan will cost less and cover more has easily lead many to believe out of pocket and deductibles are not going to increase.