>> but the problem is that in the USA, we're never going to have a situation where healthcare and health insurance isn't a for-profit business. We're already screwed on that, there are too many people making too much money off it for that to ever change.

As we saw in the banking crisis, those people suddenly renounce their faith in the market and run away when the crunch comes. That's the point at which change can be made. Mind you, the same experts that allowed the culprits to re-emerge unscathed from the banking crisis, no doubt will want to do the same in healthcare.

>>Right - as I said the GOP is doing everything it can to is sabotage it. They want to get rid of the glue that hold the whole thing together.

Actually there's shared blame on that. It was made far too easy to weasel an exemption from the individual mandate, with only the poor actually paying for the privilege. That wrecks the model since every sick person will be sure to insure but well people with easy access to mandate exemptions, may decide not to insure for a year. Or three. The other point would be that ACA subsidies were due to expire earlier this year but were extended- by Trump. I agree that not continuing to extend subsidies appears to sabotage the ACA, but it wasn't Trump or the GOP that pretended subsidies would only be needed until early 2017. Trump is simply going along with the ACA game plan laid down by the previous administration. Whereas complete dismantling of the individual mandate- yes, that's all on the GOP but it's probably gratuitous in the absence of further subsidy.