We have to be more thoughtful and deliberate in both if those arenas or risk losing America to corporate interests.
You can say that again. Except, this time, actually think about it, especially with regard to ACA and the policies you've been advocating. Is Congress 'reining in' the insurance industry? Or is it the other way around? Google Liz Fowler. Look into who really wrote ACA and what their aims are. Seriously, do some reading.
It sounds like you wouldn't have involved the health care insurance industry in improving the health care insurance system.
I certainly would choose what was done.