@neptuneblue,
In other words, they never wanted to actually make themselves more affordable by reducing their operational costs and revenues. They just wanted congress to pay the difference.
The only thing that is going to bring down health care costs is if there are people willing to work for less than what insurance companies pay. The only way they are going to do that is if they can get the things they have to pay for more affordably also, including education, equipment, supplies, etc.
In short, there has to be price competition in the health care supply-chains, but that is difficult to achieve because lower-cost market entries could be attacked with lawsuits and/or blocked by regulatory police, etc.