The Democratic ideal is, of course, single payer. Some call it Medicare for all, but Medicare Part C and Obamacare are not so very different, so that mission is accomplished. Real single-payer is Medicaid for all, but that will not end the perpetual battle between health care and tax cutting, which is why the GOP resists VAT funding for entitlements and health because such taxes are easier to increase. Still, the American public fears such socialistic sounding solutions (even if health insurance companies will likely administer any single-payer plan). They also like their current comprehensive coverage, especially because employer pay most of it.