Regarding the health-care obscenity in the USA, it’s nonsense to put blame on anyone but the Republicans.
Obama fought for a public-option. That would have started a different game in which the health insurance companies give fair and good services or be eliminated. And good riddance. Getting health care would no longer have been synonymous with financial hardship or ruin.
The vast majority of Americans wanted (and continue to want) a public option.
Republicans and a few Blue Dog Democrats gave absurd reasons why a public option was against public interests. They got away with it.
So health insurance companies continue their shark feeding-frenzy on the disposable income of the bottom 99% income level people.
All else, regarding health care, is commentary.