The president has made it clear he isn't interested in reforming Obamacare and any discussion over it - of which there has been tons - is doomed while the current program exists. It is too much of a shaky mess and needs rebuilt up separately from the ground up. That's one of the problems with it, the thing is a giant interconnected mess that falls apart if you remove bits. That's why it needs repealed entirely. I have no problem with extracting public promises that X or Y will be included and will be done by Z date but it needs to be built from the ground up, and by both parties, as it should have been done in the first place. Whether or not you want to accept it or not, the left wildly overreached in 2009 mistaking Anti-Bush sentiment for pro-left sentiment. I don't doubt the right would have done the same and has before, but it doesn't change that the support for Obamacare as is just wasn't there and in almost 4 years of trying to convince people its good sentiment against it has actually risen and that's because its an awful hodge-podge of half assed measure that are worse than what we had or single payer. It needs scrapped and replaced, not repaired. Again if the left wants to extract sworn pacts that ti will be replaced and include X before voting to kill it, I'm fine by that and most republicans would be too.