The signature health care law of the Obama administration needs substantial overhaul, Bill Clinton conceded Monday to audiences in Flint, Michigan — and said it was “the craziest thing in the world.”

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“The people getting killed in this deal are the small-business people and individuals who make just a little bit too much to get any of these subsidies,” said the former president. He said the Affordable Care Act punishes hardworking people who don’t qualify for subsidies but have to foot the bill for higher health care.

Related: Obamacare 2017: Higher Prices, Fewer Choices

“He [Bill Clinton] acknowledges that Obamacare is failing but offers no fiscally sound alternative,” said Dr. Ramin Oskoui, a cardiologist in Washington, D.C. “The Clinton plan is just more of the same. He promulgates the worse course of action — ‘keep the law’ — and work to change it by providing Medicaid and Medicare for all. Both are in huge financial trouble. Expanding them will worsen government budget deficits on the federal and state level.”

“When a ship is about to run aground,” he added, “you don’t increase speed, but change course radically.”

Dr. Oskoui also pointed out that the Clintons have made a point of avoiding this topic in the last few weeks of the election. Health care did not come up during the first presidential debate — and Hillary Clinton has tried to distract the media by talking about a Venezuelan Miss Universe from 20 years ago instead of discussing important policy changes in health care law.

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“[Hillary Clinton] has espoused Obamacare but has been notably silent as press reports from around the nation questioned its first financial viability,” Oskoui told LifeZette. “Democratic politicians always speak to coverage, but never reference how it will be paid for. It expands our rapidly expanding deficit.”

Bill Clinton was blunt this week: “You’ve got this crazy system where all of a sudden 25 million more people have health care, and then the people who are out there busting it, sometimes 60 hours a week, wind up with their premiums doubled and their coverage cut in half, and it’s the craziest thing in the world,” the former president said.

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“On the other hand, the current system works fine if you’re eligible for Medicaid, if you’re a lower-income working person,” Clinton said. But if you’re the average middle-class American trying to get coverage for your family, but you don’t qualify for government help — the costs can be crushing.

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While Bill Clinton openly declares Obamacare broken, his wife has pledged to defend and expand the Affordable Care Act if she’s elected president. She has also proposed a Medicare expansion that would allow people age 55 and older to buy into government health care options.

Expanding Medicare is not a fiscally responsible option. For one, Hillary suggests a Medicare expansion would drive down costs for small businesses. Evidence, however, shows that companies are already under pressure to keep costs low.

Related: Saying Goodbye to the Obamacare Marketplace

Enrollees switch providers year to year to find the best plan — while numerous companies are pulling out of marketplaces because of huge financial losses.