Let us not forget one major factor contributing to uncontrolled costs; the amount and percentage of government employees with gold plated insurance policies. The government, nor the employees nor the insurance companies have incentives to keep costs lower. Yet with the highest national costs and the highest national profit we still get the crappiest care in the nation. To their credit, some unions have taken to sending there members outside for treatment and also paying for a companion to go with. And they still save money!!! 

Requiring people to buy insurance in a system so broken is like pouring gas on the fire. It solves nothing. 

Look at the profits and you are certainly looking at why the USA refuses single payer systems like many other developed countries that have figured how to do it. Call it what ever you want but call this system broken so badly as to qualify for the insanity award. Thanks Charles. Now name the legislators personally and find the bribes.