Is there a health care deal that would meet the needs and solve the political problems of members of both parties in Congress?

It seems almost inconceivable. The only talk on the left at the moment is Medicare for all. On the right there is not much talk about any aspect of health care. But when pressed, Republicans would still like to abolish Obamacare. Neither party is going to get its wish any time soon.

Still, desperate times call for new thinking. As voters get tired of hearing promises that are never met and never will be met, politicians will feel increasing pressure to accomplish something.

To see how some innovative thinking might produce major reform, let’s stop to consider why both parties might feel pressure to act.