The truth is Republicans just can’t muster an interest in the subject until a Democratic president comes along and offers legislation, which is their cue to wake up and scream in horror. They solemnly agree the existing system has a host of serious flaws. But they can never get excited about fixing them—only about making sure Democrats don’t get to.
As the article points out, Republicans have had good ideas about fixing health care for 30 years, but they’ve just never make it a priority. Rather than fulfilling their moral duty to remedy the problem (while also taking away a touchstone issue from Democrats), they’re content to merely remain discontent. That’s a shame.