I'm not sure what your point is. I am in total agreement with you that our healthcare system needs to be fixed. It is my belief that the ACA will not do it. In fact it will make it much much worse and will damage our economy at the same time. My posting this article was in response to the argument I always here (including in another thread in this forum) about how many people die because they don't have insurance. It doesn't sound like insurance is doing what is needed for your family, and it doesn't sound like it will fix the problems you see in your ER.
I don't know who paid for the study, but the author is Richard Kronick. He was a senior healthcare policy advisor in the Clinton Administration and was a major contributor to Clinton's healthcare reform proposal.