There are many times in history that are a turning point. A time when there is enough people with enough resources to call forth action that will impact millions more. The time to focus on these things is always, but with limited time it becomes something that's brushed aside until a point that people see that action must be taken. They seek a solution and the seek salvation in leaders who act as if they know what to do.
But often enough, leaders have their own agenda. They see a world that does not work in they way they think it should. There is a belief that even so, the world works in certain ways and they somehow can fulfill that form through their actions. Yet this is a contradiction. Instead of seeing things for what they are, they wish to mold the world into a way they want it to be no matter how impossible those actions are.
So we see calls to replace Obamacare. Obamacare is a failure. It is a failure of vision to see the systemic problems we have in the US. We have too few doctors and too much willingness to coddle the AMA's desire to limit licensing the doctors we need. We embrace a system that would prefer 100 well-trained US trained doctors--native born and foreign immigrant doctors--over 150 US mostly well-trained doctors and another 50 or 100 questionable trained foreign immigrant doctors. We give license to drive to most anyone to one of the leading causes of death--cars--but we put much higher standards on licensed doctors from eastern and western countries of comparable (or even superior) medical systems. We push the burden to train new doctors on government spending instead of mandating it to hospitals in the same way we mandate emergency care. We allow monopolistic pricing on drugs and advertising meant to manipulate the public, rather than educate, instead of coming down hard on abuse of patents--a government monopoly only Constitutional so long as it promotes Science and useful Arts (hint: fraud, con artistry, and ever higher profit margins are not useful arts). We allow middle men insurers to negotiate prices and limit access to medicine all the while with their focus to skim as much money out of the public as possible.
We've created a system where every step of the way, the focus is on more waste in profit than treatment of people. We've become most focused on just enough emergency care to not cause the poor and elderly to not physically riot while treating the idea of actual, regular health care as a job perk that only last so long as you're healthy enough to keep going to the same job--as health insurance is tied to work as COBRA insurance is no substitute and making continued payments is unrealistic in a society built on debt.
The answers are there. Remove the middle men. Make legislation that focuses on health care, not health insurance. Mandate the residency of more doctors by hospitals. Reduce or eliminate, as warranted, the restriction of foreign doctors to practice. Punish drug companies that inflate prices beyond the reasonable to cover R&D of more drugs. Ban advertising of drugs to patients entirely and limit it to doctors to the medically important information, not to the possible side-uses or to a system of explicit or implicit kickbacks. Cut the red tape on FDA approval of drugs or devices where it is more about laborious paperwork rather than proper documentation.
Above all, do not put forth legislation that imagines a continuation of the current system is some sort of solution. Do not believe that shifting money out of Medicare and Medicaid into tax cuts is going to magically make people health when even conservative estimates spell out that thousand more will die because of those actions.
If winning means to through willful inaction let people die, I want to lose. What makes America great is the American dream: the idea that you can take huge risks, go bankrupt many times, and repeatedly get back on your feet because never will it be the lack of money to pay for an operation that will take you down. It will be a lack of determination that will make you fail. Only in a system where everyone will be treated when sick and every injured person knows that the moral hazard of risk will not inherently be met with death can we strive forward to the greatness that is America. We support those who strive to the Moon and beyond. Or we turn inward and eviscerate ourselves like a pack of dogs that see a bone and would kill all others to live. What do you want to win?