“How hard is it to have a staffer train him to say “Repeal and replace with a real free market alternativeâ€?”
Is that not what he has been saying. He has been talking about the free market idea all along. Eliminate the state border thing for more competition.
The state border restriction could be eliminated if coverage was split between drugs and care.
You might buy a care policy for your area/state and a drug plan from a company buying for a nationwide customer base.