Is it any wonder health care costs are high? When 5% of patient use 50% of the care- and they are on the govt dole, you don't have to wonder anymore. Give some education - health education- and time to those people and we as a nation might not need all the govt "help" of the ACA. Yes, I see that this person and fact appears to be known because of the ACA- but one of my Dr friends told me this nearly same story long ago. People which do not understand that their body is like a machine which you have to have a personal involvement and personally take care of are the ones who soak up the time, money, energy and profit of a hospital.