This makes two good moves by Trump on the ACA, the first being eliminating the contraception requirement. Now if he will just get rid of the subsidies to insurers, the thing might become sustainable, or fail. Either way, it would be better than what we have now.
One area of the current system, is replete with waste, fraud and mismanagement in epic proportions.
Addictive substance treatment. Everybody is entitled to insurance, and the treatment industry recruits street addicts in one region of the US with promises of pocket cash and a plane ride to sunny California coastal vacation.
Immediate insurance sign up on day one, and on planes to coastal resort towns the next. Once there, settle into housing blocks from the beach, and begin daytime classes, daily drug tests, trips to the gym, and 12 step meetings in Mercedes vans (called druggie buggies).
A few years ago, such "treatment" was only available at places like Betty Ford, and it cost $1,000 per day for 30 days. But under Obamacare it is widely available, and providers bill $3,500 per day.
You the tax payer are unaware of this. I am informing you, now.
This is one of what are called "Essential Health Benefits"
Of course ANY move to dial this down into reasonable costs, will be claimed to be curtailment of vital drug treatment. That would be yet another false claim.
An astounding fraction of the $3,500 is pure profit.