Plastic surgery is actually a huge offshore business because people are so vain but don't want to pay for a quality procedure (and end up putting their life in jeopardy). For the life of me, I don't get it, but that's another topic
.
You are right...it is a hard subject and too many people are looking for an easy fix. The ACA isn't anywhere near doing what they thought it would; in fact, much of the law was never even executed (like how to pay for some of it) because politicians all caved.
We have the best healthcare system in the world, but it's also the most expensive and we as consumers expect everything to be covered no matter what. And the consumer has no skin in the game because they are set up to choose what their employer offers and have no knowledge of the cost of care they receive. The system definitely in need of change, but you have politicians with no spines and people that have a lot invested that are not going to give up without a fight. The ACA was supposed to punish insurance companies, but look at their (record) earnings over the past 8-10 years. Who won?