Subject: Re: Why Ketanji, Why?
According to Kaiser Foundation, 5% of the population uses up 50% of all health care dollars. 50% use about 3%. The other 45% use about 47%.

The reality is that significantly cutting health care costs means rationing the health care used by the 5% who consume 50% of health care dollars.

ACA is and has always been actuarially unsound. The system of subsidies largely conceals who is actually using the health care dollars, vs. who is actually paying for those services.