At this point, it doesn’t look like Republicans will repeal or even reform Obamacare, and the changes to the ACA proposed by the the GOP would have arguably made things worse. Regardless, state actions can help completely bring down the Affordable Care Act, or any national healthcare plan the Congress comes up with in the future.Oftentimes, supporters of Obamacare criticize opponents for not having any alternative. Direct primary care offers one.

I hope all the States are smart enough to follow suit, if this pans out for Pennsylvania.  It's one of the very few possible solutions we might still have left.

http://blog.tenthamendmentcenter.com/2017/09/pennsylvania-bill-would-expand-healthcare-freedom/