IMO health care is the providers: docs, nurses, hospitals, etc. Health insurance is another matter. Obamacare put the insurers in charge. They helped write the law allowing them to dump unprofitable plans & force all into higher deductibles, etc. The law even guarantees the insurers a profit. If they lose money the taxpayers bail them out.
I recently read where over 25% of insured are not going for medical care due to the high deductibles. So Obama's claims about more people being insured must be offset by this reality.
I wish we had gone to a single payer system & eliminated the insurers. It would lower providers costs a lot. The funding for it would have to designed. Every other western democracy has it and all of them have much lower costs with similar or better results.