> The U.S. healthcare system cannot be fixed. Period. Full-stop. The only solution is to nuke it from orbit, pave it over, and start again. It's very easy to point the finger at the conservative party as the one who's screwed it all up, but the other parties are not really putting forward models for successful healthcare systems.

I wouldn't say the Republicans are fully responsible for the state of things, but they can't seem to agree within the party on a basic concept. I recall John Boehner saying he laughed at Republican promises to swiftly repeal the Affordable Care Act, commenting "Republicans never ever agree on health care". And, well, he was proven right.

If you can't unite your party on a big fix, then the only thing you can pass is some sort of limited fix, which tends to just add more complexity to the whole thing over time.