I am a purist at times, but I agreed with the Obama ACA "fix"
The reason I agreed with it was political.
Nothing much has really changed... it was mostly just tossing up a blizzard of confusion and unresolved issues too complicated for Wolf Blitzer to talk about.
But it did shift the narrative. There is a real value to making a story uninteresting. TV loves to have Jane Q. Citizen wazing a letter around. TV has no interest in talks between insurers and state insurance comissioners, or the arcana of qualified service provider contracts with state exchanges.
It is a story-stopper, much like what Blue Ribbon Commissions are for. They are not meant to solve problems, they are meant to curtail discussion of problems. There is nothing to say... the Commission will report in two years, or whatever.
There are problems that will grow and grow and grow until somebody "does something," but that something doesn't need to be effective.
I have no idea how much real-world effect the fix will have, good or bad. I don't know if it is even possible.
But that wasn't the point.
It does appear, to me, to have dialed-down a particular surge of Obamacare-rage that was very dangerous.
It did its job.