I think ultimately the system is fcked across the board, private interests and greed combined with legal corruption (lobbying) to get their way and government guided by the people that line their own pockets. Weather it is pre-Obama, Obama or whatever Donald is planning all the pricing is insane compared against <take-your-pick> of any other developed country. None of the justification holds much weight, even "cross-subsidization" I don't see affecting it to this extent unless only 1 in 20+ actually ever pay anything.