Jack, your rant is lacking basic truth. The Affordable Care Act leaves health care in the private sector. Everything in the act that reduces health care costs is being attacked by Republicans (remember the "Death Panels’ lie? It’s back), because reducing health care costs is of no importance to them. Count your blessings. If the ACA fails, even it it fails because of GOP intransigence, a single payer system will be the only thing left, and you WILL have government run health care. Fortunately for America, that has been proven to work better than the private sector everywhere it’s been tried.