ACA is collapsing with every passing week. It cannot be fixed. Trying to "fix" it simply means that the Republicans can be held responsible and punished for the inevitable failure.
The entire thing must be scrapped. Preferably before April 15th.
But we are going to do this the hard way instead. We will have one ill-conceived "compromise" after another. Insurers will continue to exit the ACA markets. The Government will ultimately delay and default on Medicaid and Medicare payments.
We will have massive non-compliance with untenable laws, combined with a few vicious attempts to enforce the latest regulations.
After that, things will get interesting.
We are so screwed.