The destiny of health care costs are already cast within the ACA.
The budget office presented more than once the upward spiral of health care costs that would be triggered 3-5 years years after passage (now!).

The low premiums in the beginning did not cover those with pre existing conditions....did not cover all the children to age 24...and certainly did not take into account the ongoing subsidies that would be increasing...or that the young would pay for the old concept would fail.....to name a few.

It was forecast that as incidence/cost rates increased due to the addition of the above that eventually providers would raise premiums and cost to account for the significantly increased financial burden.

That was all brushed aside....like good old Nancy (deer in the headlights) Pelosi proposed let's pass it and then we can find out what is in it. The goal/agenda was achieved. THE BILL WAS PASSED!

But as is usually the case with politicians and those who support them or the agenda, that is all forgotten.

Now the budget forecast is in fact vigorously coming to pass. And what do we get. More budget jargon, driven by identity politics and partisan parroting BS.

Not one iota of discussion that addresses the causes....the real causes....that would take setting identity politics and party first aside. That is just not going to happen with the Pelosi/Shummer/McCain/McConnel past their prime old leaches.....the crem' de le crem of the establishment.....
and the BS distractions they generate.
None of which take into account the needs of we the people......who are just too stupid and accept what ever crumbs are tossed in their direction.

The die was and is cast. Nobody is addressing the real issue(s).