Nobody wants to fix health care because it will be bad politically. You need to address the cost side of the equation. If you do you instantly create a recession or possibly worse a depression. Health care represents about 20% of GDP right now. If you cut in half you probably put 2 to 3 million people out of a job in the short term. It would be good in the long run as those people would find other jobs that were more productive but it wouldn’t be good in the short term. The problem is you face reelection in the short term. The one hope you might have from somebody like Trump is maybe he doesn’t really care about reelection and might do something politically bad in the short term to fix the long term.