If he's going to disrupt the healthcare system AGAIN, it's going to have to be by more Executive Orders that the courts overturn later. Congress isn't going to do this for him.
More uncertainty thrown into the system just when insurance rates came down from the last time, after insurers overcharged because of not being able to properly GUESS their costs. They overcompensated and needed to adjust prices lower this year. Trump amounts to one giant orange turd of uncertainty for the whole world to deal with.