Obamacare was intended to increase costs and destabilize the healthcare industry.
The intent was that this would then drive everyone into a single nationalized, government run program.
Then Trump won and all of those plans are on the rocks.
The GOP has to try to act with it's majority, but any plan they try will be only a bandaid on a mortal wound.
My solution is far simpler than any Washington plan:
1) For the conservatives:
Deregulate the requirement for electronic medical records - this would not only save vast amounts of money, but it would allow small practices to pop up and competition to be re-introduced into the market which would decrease costs. The hospital-owned practices cannot deliver healthcare cheaply, and they overrun with unnecessary middle management administrators.
2) For the Liberals:
Have the government set up a Pharmaceutical Purchasing Entity which is able to buy drugs on the international markets at the cheapest price that still allows good quality, and then make those drugs available to everyone at cost. Let the tax payers foot the bill for this new governmental entity which would not be very expensive, but would need multiple employees with knowledge and skill in Pharmacy. medicine, and trading and negotiating.and distribution. The costs of Rx's would drop markedly.
3) Leave the rest alone since these first two things will markedly cut the costs that the middle class is suffering under while still allowing everyone to be covered that already is.