This question was settled for good in the 2012 election. Romney's loss sealed our fate regarding Obamacare. Now, healthcare is a right, and it is the responsibility of the government to make sure every single last citizen or non-citizen receives whatever healthcare services they need or want.  Every GOP "reform" proceeds from this premise.

The American people had a chance to say no, and they didn't.  It's unworkable, unrealistic, and unaffordable, and no tinkering with the details can change that.  The GOP should just let it crash while it still has Obama's name stuck to it.