Considering the likely future, Republican or Democrat, check into offshore insurance and “medical tourism” for major medical. Onshore investigate concierge medical practices. Arrange your tax paying so that you do not get a refund as that is the only way the government can penalize you for not getting Obamacare.
The only problem with medical tourism for surgery is complications post op. For example- if you have a total joint replacement that gets infected right after you return home, then you have to pay for that care out of pocket.