The ACA succeeded in making people pay for insurance in the marketplace to avoid the tax penalty but they were still not able to afford the high cost of the co-pays and making the high deductible payments prior to cop-pays kicking in. The open market is the best system for insurance where people are able to select the best insurance for their family. The pharmaceutical industry is out of control and I understand the "Conservatives say they worry that the price negotiations will discourage pharmaceutical companies from responding to market forces. It would mean reduced investment in research and development, fewer clinical trials, fewer post-market evaluations and fewer medical breakthroughs to combat deadly or emerging diseases"(Hall, 2023), but price and market control would help users of needed medicine like insulin and cancer treatments