funny, I thought it had us largely in agreement.
regarding the fix it or scrap it, fixing it virtually never results in a fix. its a bandaid here and there and almost always new stuff which is seldom helpful.
the issue is in the fundamentals, the basic engineering of the program. given the nature of politics in America there are always agendas to be codified and coddled and in trying to do that, the "problem" being fixed becomes secondary. Look at Obamacare as an example. Big Pharma had to be bought off so the RX side of it was just the usual bad joke. the AMA had to be bought of so EVERY insurance was forced nto looking like it (and providers being forced to divulge all your medical data to the government to sell to whoever).
unless you first prevent the purchase of legislators, its extremely difficult for a government to work to the benefit of it's citizens. and lets face it, thats the LAST thing legislators want to see happen.