The private sector has had plenty of time to fix the healthcare crisis in the US, starting with the 1992 election when it became a big issue. Nothing changed at all. Obama ran in 2008 on a mandate to fix the issue, because the private sector simply couldn't fix it. If they could've done so they would have done it in 1992. They have run out of time and excuses. Trump has no plan that differs from Obama's. It will likely be a variation on the ACA, but then he'll claim its some radically new thing.