It is one thing to say that a program is bad and needs to be scrapped, but, when you are in a position to do so, the rubber meets the roead.
There are problems in life people love to complain about, but really cannot solve. Healthcare seems to be one of those issues. It is a matter of least worse choices.
So, if you were President Trump or a member of Congress, what would you do beyond criticism and complaint?
Don't be afraid to approximate. Choose the option that is CLOSEST, not necessarily the most nuanced or with the proper caveats.