Local control would be ideal. However, the simplest approach would be to just expand Medicaid (which seems to be the largest effect of Obamacare anyway) without all of the mandates - I'm not a fan of the program for many reasons, but it would have been far less disruptive than Obamacare has been.
I would agree, except I think each state can do a better job understanding and responding to their states citizens medical needs far better than a humongous federal beast...
An average joe citizen can petition their local state representative far better than their congressional congressman who is beholden to special interest, corporations, big Pharma etc...
I've been around long enough to know the federal government will never give up their power in handing out medical benefits...