The essential thing is to get the best package of reforms that can in fact be got. There are more ways to skin a cat than one.

It will still be far short of what is needed, and I doubt if there are many people outside the USA, in any of the other countries with universal health care up and running for decades, who would willimgly change with what you are likely to come up with, at least initially. We certainly wouldn't in the UK - but the thing is, it will be far better than what you have now.

The old saying shouldn't be forgotten. "The best is enemy of the good".