Wrong.
Health care costs are so high for basic economic reasons.
Like the cost of any other good or service, health care costs emerge out of the interplay between supply and demand. Other things being equal, a limiting of supply results in higher prices as does an increase in demand. In the case of health care, government intervention has simultaneously restricted the supply and stimulated demand.
Government has restricted supply by erecting a massive regulatory wall around virtually every aspect of health care such that the entrance barriers for providers of health care goods and services are extremely expensive and daunting.
On the other side of the equation, the government has implemented massive direct health care subsidies at every level and also, perhaps even more importantly, pushed employers into providing health care subsidy to employees. When people don't pay for their own health care, demand goes up dramatically and price competiton virtually vanishes.
Why would the government do this stupid thing? Crony-capitalism. By limiting competition and subsidizing demand, health care providers have made staggering amounts of profit. Indeed it is the weight of the crony-capitalist profit machine that is sinking the health care ship.
And Rombamacare is just more of the same poison.
Oh, and by the way, this guy's statement that an indivdual can't bargain effectively for health care because he NEEDS it is idiotic. If that were true, you couldn't bargain for food either, which is demonstrably not true.