The underlying harsh truths of health care in the United States is that it became bloated by design (incentives for high base prices), and also that the US population is incredibly unhealthy. And that a few million of health care workers (mostly in insurance companies) will have to lose their jobs to make it fair for the rest of us.
But because unhealthy people are lumped together with healthier ones, it tends to lower the costs to a tolerable (still very high) level. Also, many workers don't pay their full premiums, which again helps mask the true costs of health care.
Eventually it will all come crashing down and there will be far more suffering than there had to be, had we addressed the problem earlier and in full (Gut the insurance companies, Single-Payer, Cost ceilings on critical medication).