Fundamentally, if you can reduce actual health care costs to be within reason, you can reduce the costs of healthcare insurance.  Obamacare does nothing to reduce healthcare costs, in fact, it does just the opposite.  Being totally dependent upon the government to oversee the program adds costs to the administration of the program.  These additional costs were to be offset by additional taxes on the wealthy but, as everyone knows, raising taxes on any group of tax payers, raises taxes for everyone.  When there are no limits to the cost, such as market demand, there is no limit on what you can be charged.  Insurance is not healthcare and does not provide for any balance/control in the escalating costs of healthcare.  An effort to directly reduce costs while providing expanding availability and reducing the role of insurance companies in the equation might work.  These simple economic factors were left out in the adoption of Obamacare and they are the reason that Obamacare is failing.