Medicare and Medicaid costs are still out of control, no cost containment efforts have had any effect, and yet, we continue to expand the failing system. The ACA is passed. Government duplicity is fully exposed, Significant portions of the new ACA, can’t be implemented, and those which are cost much more than anticipated. It’s not just that we are extending coverage to those previously uncovered, a good idea with a bad implementation, we also continue to expand the scope of care beyond the what we need to stay alive and productive. The false healthcare economic structure becomes a systemic problem! The system is in collapse.