1. Democrats propose health care reform.
2. Republicans scream that the reform will cause fewer members of the undesirable races to die, and other objections.
3. Democrats, in a spirit of cooperation that seems naive in restrospect, weaken the law before passing it--even though they could have told Republicans to go fuck themselves.
4. Republicans, over the course of the better part of a decade, relentlessly attack the law and when Trump oozes into office, succeed in crippling it.
5. Costs skyrocket as a direct result.
6. The Republicans scream, "SEE?"
The takeaway is that when Republicans have anything to do with America's healthcare, costs go WAY up, care gets worse, and the rich get richer. The conservative mindset is to run the country like a giant corporation. In that worldview, the poor and other undesirables should be allowed, even encouraged (or even, forced) to die off, leaving only a rich old white men's utopia. With none o'them darkies or Messkins.
DonDiego does not understand, or more likely, willfully ignores, the fact that REPUBLICAN modifications to Obamacare are what caused premiums to go up. He chooses to act as if the Republicans didn't make massive fundamental changes to it.