There are legitimate critiques of almost any proposed change to the health care system, but you have to also consider the context that we currently have a health care system that, compared to other developed countries, produces only average results, costs twice as much, leaves many people uncovered or undercovered, and perhaps most significantly is getting closer and closer to the “back half of the chess board” point of unsustainability in terms of price.
So, compared to the status quo, there are many plans which would IMO be an overall improvement.
I feel very strongly that doing nothing will both continue a lot of unnecessary suffering (particularly financial/bankruptcy suffering), and will also lead to disaster, a budget crunch on both government and private employers that will be severe.
Strollen has already outlined some elements of his own preferred type of plan which is a combo of some ideas from Singapore, Switzerland, other Euro nations, and a bit of ACA. His plan is OK IMO, but IMO is both too incremental and also does not adequately address the uninsured. It would probably be an improvement over the pre-ACA system and probably more or less comparable to ACA if the GOP wasn’t trying to strangle ACA. My problem with Strollen’s plan is that although it is IMO a weaker reform than what I contemplate, it has no greater chance of passage in the current political climate, perhaps less.
Pretty much any plan of mandatory insurance, subsidized insurance, medical price reform etc., is going to be attacked by the GOP as “socialized medicine” and with the GOP in power, they can block it completely. My type of plan would receive the same opposition, although using the “Medicare” political brand might give it a bit more possibility of passage, even though it is a more liberal plan. (As an aside that is a good example of how the hard right’s lack of nuance can be used against them: since they consider even incrementally liberal policies to be SOCIALISM!!!, why stop with incremental policies? If you are going to be called a socialist no matter what you propose, may as well go far enough to make major change.)