The conservatives in the GOP could “grab the bull by the horns”, to bring back privatized medicine at the national level. To be acceptable to the public, it has to have several key ingredients.
1) To start with, reassure Medicare recipients that they will continue to get their Medicare. However, nobody else is put in the Medicare system after a given cut off date. Medicare’s evil twin, Social Security, is ended the same way, with nobody new entering the system.
2) Strongly restrict insurance for routine health care. Insurance should only be for catastrophic and long term care.
3) End the data gathering parts of HIPAA, as well as making it a federal crime to access patient records without their permission, as well as the restoration of doctor patient privilege without a signed warrant for those particular records.
4) Medicaid will be given to the states as block grants, and federal guidelines for the spending of Medicaid money will be voluntary for the states.
5) Right now some doctors have discovered that if they do not take Medicare, Medicaid or insurance, their costs are so low that they can provide the same level of care for 50% less as well as make more money. So this is the preferred form for full privatization. HMOs will still exist, however.
It's more realistic to believe that they're going to bail it out.
Boehner and McConnell are the Washington Generals and Obama is the Globetrotters.