There is no such thing as affordable medical care insurance. The structure of the product is faulty to deliver good care without accelerating costs of care because the industry is built on the element of chipping the pot. Insurance bases its profit as a percentage of cost of services provided so increasing service cost results in larger insurance profits. Insurance is the primary reason why the cost of medical care is high. With medical care insurance as it has been provided, there is no free market mechanism to provide feedback to reduce medical care costs by reducing demand. Insurance fans the flame of demand and drives up the cost of care because the patient/customer feels more pain from his medical condition than from the cost imposed to provide treatment for it. There must be a complete change to the product so that it no longer even resembles traditional medical insurance in order to have any significant effect on costs of medical care. Is it possible for the industry to change? Yes, but imo the change will come from outside the industry.
That does not mean the current government control is an improvement; It merely exacerbates the problem as all previous government medical care progams have in the past. It is a near perfect example of Einstein's definition of insanity: keep doing the same thing (that failed in the past) and expect a different result.

With the Unaffordable Care Act in place, I'm not sure they have that degree of freedom any longer...