Trump is Correct! Obamacare will fail if something is not done soon. There are major problems that need to be fixed. Even liberal Democrats agree, but they point to the fact that there have been no attempts to fix the major problems since the original ACA was passed. Maybe we can get Congress to agree and act to: Minimize uncertainty. This has driven up prices more than any other single factor. Come to an agreement fast and lock it in for a long time, if not permanently. Revisiting every year maximizes uncertainty. Accept the fact that even a majority of conservative Republicans, let alone the public as a whole, want to save most of the significant features of Obamacare, but they still hate the name, "Obamacare". So get rid of it. It's obvious by now that Republican cannot do everything by themselves. Required fixes will require bi-partisan support. Bite the bullet and deal with it. Revisit the many fixes that groups of Democrats and Republicans have agreed to in the past. Yes, they really did agree, but never brought anything except repeal to a vote. Dump the idea of a massive tax cut for the rich that has been driving recent "Repeal and Replace" efforts. This will provide the money needed to pay for the required fixes. Do not work in secret. Build public support by holding open hearing so the public understands the costs and benefits of each proposal. Find ways not to kick millions off healthcare by making it prohibitively expensive.