BBB will brake it.
ACA stabilized health care costs in the US as a % of GDP at about 17%. That's the bottom line. Could it be improved by merging Medicare, Medicaid, ACA as US Health for efficiency? Yes. Could more emphasis be on prevention? Yes. Could there be a lower cost optional public Premium Health Care option coupled to the new US Health to lower $$ and improve clinical outcomes? You bet.
BBB will balloon health care costs with worse outcomes, especially for those in rural areas and in blue states..