There is political and populace will to tweak obamacare, but not for a full repeal. In some form, this thing is here to stay.
And decent medicine will continue to move offshore as it did in Britain and Canada. People should concentrate on getting international medical insurance. Medicine will be cheaper, including airfare, when you have to go to Costa Rica or Dominica to get that operation. It is already cheaper for something uninsured operations to go to Thailand or India where the best English doctors set up shop.