From my most unusual perspective re healthcare funding reform: partial success, when it came, needed massive resources brought to bear against some of the biggest vested interests in the world. At a minimum, HRC smoked them out even if she lacked any of the resources assembled this time around.
My own perspective would be that the parasitic burdens around healthcare were so great and so lacking in the give-and-take needed for any symbiosis to succeed, that the system had to fail within a decade. This is the modern American disease: vested interests see to it that privateering innovation is replaced by parasites sucking greedily and resisting change: and the only valid purpose for displacement of people or technologies is to send more life blood the parasite's way.
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us."
-- Shakespeare: Coriolanus, Act 1, scene 1