Used to work in hospital finance, and the answer to your question is yes they are. Not enough bandwith to post a 200 page thesis as to why. Reforming just the insurance side (ObamaCare) will do little if anything to lower the cost of the delivery of healthcare.
Thank you. I have been a victim of the hospital in my city. It even has a Catholic name, as if that made it charitable.
If y'get started on that explanation now, it might be ready by Trump's second term ... /8^)