It is true that the ACA creates a monopoly market for the health insurance marketeers, and all monopolistic systems militate toward the biggest providers. Nonetheless, they are not the only beneficiaries of the process. Indeed, there are tens of millions of other beneficiaries who are and will be benefitting. I have been and will be one of them, as is my son (who lives in a State that has expanded Medicaid).
It is not surprising that a Forbes contributor would only focus on the business end of the process. I am one who would have preferred a "Medicare for all" approach, but that was not (at the time), politically feasible. Unjust enrichment is the cost of doing business, in this instance. My hope is that, eventually, we will be able to transition out of the monstrosity, but, for the time being, it was the best available alternative.
I suspect that over the next two decades these issues will result in the dismantling of the current program and the institution of a single-payer program. It will be an epic battle. There are, as has been pointed out, thoroughly entranched interests. They are well funded and motivated. We are living in interesting times.
A well reasoned argument is like a diamond: impervious to corruption and crystal clear - and infinitely rarer.
Here, as elsewhere, people are outraged at what feels like a rigged game -- an economy that won't respond, a democracy that won't listen, and a financial sector that holds all the cards. - Robert Reich