Things haven't changed "on the ground" since the 2015 vote, accountability has.  And no one thinks Sullivan et al could do in two years what they have not been able to do in seven.  That's crazy talk.  Address abuse of the drug patent system, get the obesity crisis turned around, mandate effective cost transparency, mandate centers of excellence for services.  If the fundamental reasons for a grossly expensive healthcare system are not addressed no amount of political BS is going to prevail. Broken is as broken does.