In the Swiss system the private insurance companies are required to be non-profits. The government sets the standard for care and coverage and all the companies can do is compete on price.
Basically what Obamacare was originally intended to be before they had to compromise to get it passed.
They were trying to get Republican votes so that the law would be bipartisan. In the end it passed on a party line vote, so maybe the compromises were a mistake...
The parties weren't yet ideologically sorted. The Democratic majority included dozens of members of the Blue Dog coalition, a conservative group who (among other things) didn't support healthcare reform.
Also the us Congress is blocked by the senate needing 60 votes/supporters to reach cloture on every single bill, except the once per year thing that got the bbb passed. So it's very easy to block the other side. https://en.wikipedia.org/wiki/Reconciliation_(United_States_...
Basically what Obamacare was originally intended to be before they had to compromise to get it passed.