That is the core issue. That was not solved by the ACA. How do we solve it? Ideas? Oh yeah, you know what? Let's argue about Obama and Trump instead. That will surely work. Look at the comments in this thread.

If I asked you how to solve a sorting problem, I'd have a dozen good solutions presented. If I ask how to solve a healthcare cost problem that many other countries don't seem to have, everyone's brain switches off and they go into arguing about politics.