Two years for each state to craft their own healthcare system is not going to work. It will take that long for each state to have the fight to decide what they want their healthcare system to look like, and just as long to get it into place.
It is a good first step, gets rid of the mandates and allows states to opt out of the essential benefits, which is the big driving force in insurance costs.
Rand Paul needs to wake up and realize that full repeal is simply not a possible solution. He needs to understand that practically, this is the best he is going to get right now. Pass this and fight another day.