You make many salient points and I agree with most of them.
Perhaps, states can deliver health care more cost effectively. Neither party has come close to addressing the most obvious factor in health care: COST!!!
Tort reform (medical malpractice), drug prices and other key issues are hardly mentioned. However, President Trump has focused on pharmaceutical companies to some degree.
It just seems the electorate will grow impatient and hold the GOP responsible for not at least modifying Obamacare.
Both parties having input in reaching a compromise is regrettably not in the realm of possibility. The divide precludes any cooperation.
Finally, I have maintained that the medicaid expansion has taken root as an entitlement in our society a la Social Security and Medicare. Once citizens have been given another safety net, it is virtual political suicide to wrest it away!!
Why can't the argument be made for turning over Medicaid and Medicare completely over to the states?
Don't accept the premise that Republicans need to "do something" to make Obamacare work. No, we need to have the debate whether or not the federal government should be involved in healthcare.