This fails to address the elephant-sized American in the room. Any analysis of increasing healthcare costs that doesn't quantify the fiscal impact of the average American's failure to care for themselves is just beating around the bush. The obesity rate alone has gone from 10% in the 60s to 40% today. These people need more care that is harder to provide, and to not expect healthcare costs to rise significantly from that is to expect healthcare workers to work for free.

Our system is a little sick, sure, but the bulk of the responsibility for the current situation lies squarely at our own feet as individuals. This problem will never be solved before America puts down the fork.