(1) guaranteeing health care coverage to everyone in the USA, or
(2) conservative principles about the constitutional role of government.
Can't have both.
I choose (2).
You can do both in a way and I agree with you on 2.
By sticking with conservative small government principles, repealing in total the ACA in a practical phase out over 2 years, and making available a strictly market driven approach to healthcare so anyone who wants it can buy the level of insurance they personally want and/or need, everyone will be covered. If they aren’t it would strictly be by choice.
One caveat though; some kind of high risk pool for the many who have pre-existing conditions needs to be developed and possibly subsidized up to a point if needed for the lower income brackets. These people must have the same equal access at fair prices as anyone else. Sounds easy enough to say but I’m guessing it will take someone who is familiar with insurance wizardry to come up with a plan for it. It may be the insurance companies, doctors offices, and hospitals across the board will simply have to accept less for these patients but still enough to make it worth their while to cover.