We have no choice but to create such a system. Healthcare is a human right, not a market commodity. Therefore, any market-based, profit based, private system, whether Obummercare or tRumpcare, must and will fail. Only governments protect human rights. (It's right there in the Declaration of Independence and the Constitution.) It is inevitable, therefore, that we will have to get with single-payer, government sponsored healthcare, the same as virtually every other civilized nation has done.