As some one who is still practicing medicine I have seen the cost of meds go up exponentially since the ACA was enacted. Not to say it wasn't bad prior to it. I get one of my meds from Canada since its cost is half of what my co pay is and 1/8 of the full cost here. Patients are going without and we are seeing less in the way of samples to help those who cannot afford their meds. I have been telling many patients to start looking to get some of their meds from Canada. All sides of the political establishment should be held responsible for this as well as the insurance and pharmaceutical industries. Time the people started holding their representatives accountable.