How to fix the Affordable Care Act

Any thoughts?

My own, so far:

1- No more state-by-state Healthcare.gov exchanges. All Marketplace insurance providers must provide national access across all counties and parishes.... or they can't participate. Result: eliminates the talking point that some counties have zero marketplace coverage.

2- No more employer-provided coverage for Federal government workers, including the military. They must all get their coverage on the exchanges. State and Local governments can provide employer-coverage but such benefits will be taxable compensation to workers. Results: Massive incentive for private insurance companies to participate in the national exchanges.

Of course, I'd prefer to cut out private insurance companies, altogether.