Trump on Health Care. Interesting: Apparently Obamacare was passed before Obama was first elected. (Watch today's speech by DJT in which he alludes to "seventeen" years of Obamacare.) And nothing but what's wrong; little or at best hype about what's coming to replace it.
It’s easy to find anecdotal examples of failure to help a particular individual in any system. In the aggregate O’care has made about ten percent more Americans eligible for insurance. The whole concept of insurance revolves around the greatest good for the greatest number; it can never promise perfect outcomes for every person. There is no functional issue keeping insurers from participation in exchanges; they just don’t want to cut their marginal profits or — heaven forbid — actually have to deliver on their policies.
Insurers must be required to adhere to minimum standards and compete on quality, not on cost minimization. That is the only way they can ultimately avoid a government takeover of the health care system.