I think that the President made it clear that he did not see the issue as at all simplistic in agreeing to the Ryan approach as a first of at least three steps to get the Bureaucracy supervising Health Care off of the backs of American medical care provisioning.
I think the essential thing, now, is that we keep moving forward in the quest. So long as many Republicans still cling to the folly that the Federal Government has a proper role in civilian health care, the progress back to what actually works will be slow.
The fundamental fallacy driving Federal involvement is the egalitarian-collectivist mindset, that premises unlimited claims to power, so long as those claiming power seek to level the conditions of those subject of their power.
In the Jacobin & Bolshevik revolutions, the orchestrators assumed the "right" to freely slaughter those who offended by having wealth & land, or being connected with organized religion. Since LBJ on the Health Care front, the egalitarian collectivists have been endeavoring to make certain that medical care was provided equally to rich & poor, healthy & unhealthy, provident & improvident.
Other than this Jacobin/Marxist obsession with leveling humanity, there is no rational reason to intrude a far off bureaucracy into something as inherently immediate, inherently local, as the relationship between physician & patient. Nor is the obsession really excusable on a pretense of the special needs of the person with a medical "precondition" (so far as the insurance industry is concerned).
The oath that physicians have been taking for 2300 years, requires them to treat the person with the "precondition," whether that person can pay or not. (Policing the insurance industry in this manner--not a role granted in the Federal Constitution--is a ridiculous red herring, when you recognize the effect of that ancient, but ongoing oath.)
LBJ's 1965 intrusion, tripled the percentage of our GDP that went to Health Care. Obama's ACA was a piling on an already developing disaster.
One other very clear factor. Whereas the far less regulated computer related fields have seen immense cost reductions, as the power of innovation increased; the cost of new technology in the over meddled with provision of Health Care, has exploded upwards.
Does anyone not understand that imposing layers of bureaucracy does not help the conscientious physician in addressing the unique situation of each afflicted patient; that you cannot treat unique individuals by arbitrary check lists; that Government regulated health care--and simply deciding the extent of funding for whatever is a form of regulation;--can never be an improvement over the care furnished by skilled people, honorably required to do the best they can for each unique individual in each unique situation.
(And believe it or not, many of those now hobbled physicians actually know more about health care than the bureaucrats in Washington!)
Very well said. Are those your words? I applaud.