Without the changes Obamacare would implode. Obamacare failed because there was no competition, only monopoly. This is why the US has the most expensive healthcare system in the world but offers the lowest value for the money.
Trumps vision and the republican vision of the perfect healthcare system differ a lot. Trumps vision is much much closer to Obamas vision and even Obamacare is not what it was meant to be due to political compromise that crippled the idea. If done right, public healthcare can be a really good idea as the healthcare system in other western countries outside the US is far superior and cheaper and also covers everyone. If you live outside the US you get more value for a much lower price. Because of the bad healthcare system the US live expectancy is so bad that it could be a 3rd world country. Trump wants to change that.
And most importantly it is not Trumps fault that Obamacare fails and things get worse for a while. It is Obamas fault.
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