If President Trump would rescind ALL WAIVERS AND EXCLUSIONS from the Affordable Care ACt, CONgress would be forced to enroll in it, then it will be fixed.
when Trump threatened this the last time, the repealed the individual mandate almost overnight.
Give congress a choice. They either have to go in the ACA or they have to go on VA medical. No option for any other insurance. Betcha both would be fixed immediately.