It would be soooooo easy for reasonable, bi-partisan folks to start tinkering with the ACA and shoring up the problem areas...high premiums/rural care/scrip prices. Real positive outcomes could be delivered for real working-class Americans in relatively speedy fashion.
But they just won't do it. Gotta get those taxes cut, nothing else matters and they will say anything to get em. It's a tragedy of greed...a ****ing farce.