What the insurance company's want is to get rid of the mandates and bring back junk insurance. And also to get rid of the pre existing conditions requirements. But the Republicans know that that would be untenable so what they plan is to make the program so horrible that the public will accept a new approach that LOOKS better but without those mandates.

So the goal is to make it a LOT worse by ending the mandates. And only then implement "pretend" improvements that lack those mandates. This is the entire philosophy behind privatization. Make it massively worse, then public cries out, then you make it slightly better and much of the public moves on.

It's actually a brilliant strategy and our media goes along with it.