This is a great summary. Emphasizes changing the incentives in the system is the key. If we incentivize a healthy overall population over fee-for-service quotas

This is a great summary. Emphasizes changing the incentives in the system is the key. If we incentivize a healthy overall population over fee-for-service quotas we get out of these conflict-of-mission scenarios where the system appears to be about making profits for some actors over everything else. However, Trump's E.O. to kill the subsidies essentially destroys the ACA completely. We're left with a baroque, Kafkaesque flourish on the status quo before the ACA.