Indeed, Trump should have made Congress and the entire Federal Bureaucracy subject to all provisions of Obamacare on Jan. 20
Obamacare, medicaid, medicare, and the whole progressive-crony-capitalist, cost-pushing edifice can not be dismantled. It will only collapse, someday, when no one wants US Debt at 2% any longer
In the meantime, conservatives in government need to create an escape-hatch for citizens. Mainly, create simple laws that allow the free-market to grow among the massive dead wood of government. Give incentives for doctors to accept cash directly from patients. Allow citizens to opt out of all government medical schemes, and allow massive tax deductions for self-insurance.
Health care is enrolled on an annual basis in the month of October.
Trump could not do anything about Congresses policy until October of this year by rescinding the ObamaCare waiver they operate under.
September is going to be interesting