It’s a flawed program. Everybody knows it. Premiums are too high. Deductibles are too high. Doctor and hospital networks are too narrow. Millions are gaming the system by staying uninsured until they get sick or by stopping their premium payments in the ninth month—knowing that they won’t have to pay medical bills for the rest of the year. Insurers are leaving in droves. One third of the counties have only one insurer left. After Blue Cross leaves, in most cases there will be none.

So, why can’t Republicans do anything about it?

For the answer to that question you have to delve into the conservative mind.