I was specifically thinking about the "working tremendous hours" bit.
I'm of the opinion that both W. and Obama were well meaning. This is iffier if considering their entire administrations, of course.
Stating that the cause of rising health care costs was the ACA is misleading to say the least. Healthcare costs in the US were already ridiculous and increasing long before the ACA. The ACA was an underwhelming solution because the US, as a whole, is ridiculously and irrationally dysfunctional regarding anything that attempts to tackle the unmitigated catastrophe that is healthcare in America.
The thing I was specifically referring to was a tax on medical devices that was included in the ACA. It's only a 2.3% tax but it is applies to just about everything. For example, if I take my dog to the vet for a check up, blood test and X-Ray. The tax applies to the syringe, the vial the blood goes in, the X-Ray machine, the stethoscope, the otoscope, the lab that analyzes the blood has it applies to all of their equipment. So all of this costs more for the Vet & lab to provide and the added costs are passed on to me. So because we have the ACA, which has nothing to do at all with Veterinary care, my dogs annual exam and senior dog wellness test which used to cost $98, now costs $166 for the exact same service. And it is only because all taxes, fees, and costs mandated by the government are ultimately paid by the consumer.