[dragonwriter]

> The answer is 2018 is...well, kind of like replacing the engine mid-flight. An entire tumor-like system has grown around various market incentives and it can't just be 'removed' without putting the host at serious risk.

Sure it can; the ACA marketplaces were the first step. If they hadn't been systematically undermined, the next step after they were established and stable would be shifting tax incentives to avoid favouring employer-based insurance, and the final step would be removing employer mandates and maintaining the individual mandate.

The problem is that it's not a cancer, it's an active parasite that protects itself against the host.