Proponents of the Affordable Care Act are getting exactly the cultural result they wanted. They are able to declare victory because of a decrease in health care costs but don't mention it is because there has been a decrease in people using their insurance because of high out-of-pocket costs.

In this election season, it is imperative to remember those who voted for this disaster without having read the bill, those who demonized people who raised valid questions about access to care, costs and rationing, and those who cried racism when valid points were raised about how the quality of care would necessarily drop because there was never enough money to subsidize a substantial number of the 30 million newly insured people.

Those on Medicare need to remember that over 700 million dollars was taken from money that would have been used for their care to set up the unwieldy bureaucracy that is the underpinning of  the Affordable Care Act, also known as Obamacare.

Obamacare actually doubles down on what makes the US health care system so expensive. The only change is the creation of a bureaucratic infrastructure that allows the government to centrally control the delivery of health care via regulations and compliance covered in the cloak of innocuous catch phrases like 'meaningful use', 'accountable care organizations' and ' a medical home'. Make no mistake what it all distills down to is control not health care.

It is all about destruction of the doctor and the patient relationship and control of the healthcare choices that are allowed.

Now that the ACA is entering its second year it is clearly evident that promises have not been delivered. People have not been able to keep their doctor or the health insurance they like. The government has forced those with a moral objection to abortion to pay for it, and the promised savings of $2,500 per family has morphed into average out of pocket costs of $6,000 and premiums that have risen exponentially.

Over 220,000 doctors are currently not accepting Obamacare, and that number is growing not because doctors don't want to take care of patients, but because the reimbursements are so low they can't keep their practices open. Furthermore, those who believe in the Hippocratic Oath have declined to accept Obamacare because of their refusal to work against the interest of their patients.

The decision to hide the true cost of health insurance until after the election is politics as usual - it wreaks of cynicism and hypocrisy, and it shows the contempt that proponents of the bill have for the American people. What they don't want you to know is that it will only get worse after the election:

- Even if the insurance that people like are not been terminated, they will likely be priced out due to the further rise premiums and the out of pocket costs.

- Those who have coverage through their employers will likely lose it because of the prohibitive cost to the employer.

This is all designed to fill up the healthcare exchanges with people who have nowhere else to go. Voting for the status quo will only reward those who have put us on a path to single payer and encourage the irreversible destruction of the essence of our healthcare system which is based in individualized patient care that is based on privacy and sanctity of the doctor patient relationship.

On November 4th, it is time to send a message that it stops now.