Obamacare and other similar efforts were never the solution needed to a broken healthcare system in the US, and acted with a mere band aid patching up effort not getting at the root causes for the breakdown in the healthcare system in the US. Pharmaceutical companies act with impunity in the US to price medicine in ways that are inimical to the lives of the people of the US. This is true also of other companies in the healthcare system in delivery of insurance plans and delivery of medical services.
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