There needs to be more control over the insurance companies in the ACA. [View all]

The insurance companies in the ACA are not competing. They are colluding. As long as you have only a few companies in each exchange, that is going to happen. So, they continue to raise the premiums, and the subsidies are chasing the premiums costing the taxpayers more and more money. This raises the cost to employers because if they don't buy from them there, they can make so much money in the ACA. There either needs to be direct control on the premiums, or a public option put in. Most of the Republican's answer to this is to stunt the subsidies which will make the ACA unaffordable to many, reducing the number of the insured. The Democrats are at least publicly ignoring the problem. You can say we need to go to a single payer system, but that is not going to happen any time soon.