Yet Republican legislators refuse to be part of the solution, unless voting 37 times so far to repeal all or part of the law can be viewed as a worthy contribution to the reform process.
Conservatives have married their political fortunes to the notion that Obamacare is a catastrophe and must be discarded in its entirety — even though some of the signature elements of the law, such as a requirement that most people be insured, are ideas that they originated.
"There's plenty of blame to go around for what's wrong with the law," said Mark Pauly, a healthcare economist at the University of Pennsylvania's Wharton School. "What we need now is an informed debate about how it can be made better."
And that's precisely what we're not getting.
President Obama recently announced a one-year postponement to implementing a requirement that businesses with more than 50 workers provide employees with health insurance. The delay, the White House said, will give companies more time to adjust to the complicated change.
Republicans are entitled to grouse about the half-baked status of the regulation, and they undoubtedly have valuable input to offer on what is needed by businesses to make the transition smoother.
But, like Americans for Prosperity, their sole priority so far has been to obfuscate and mislead.
"This further confirms that even the proponents of Obamacare know it will hurt jobs, decrease economic growth and make it harder for families to have access to quality and affordable healthcare," said House Majority Leader Eric Cantor (R-Va.).
He called for the entire law to be scrapped and for "patient-centered reforms" to be enacted instead.
Obamacare has plenty of patient-centered reforms, as Republicans well know. The law's guarantee of coverage to all is among its most popular features, as is an end to lifetime spending limits by insurers and a provision enabling young people to remain on their parents' insurance policies until age 26.
Polls show that such benefits are popular among Republican and Democratic voters alike. Polls also show general approval for provisions that reduce the number of uninsured.
But any law this complex is all but guaranteed to need some rethinking as it encounters the real world.
Jeffrey McCombs, a healthcare economist at USC, drove this point home by sharing with me a list of changes he thinks should be made, including a healthcare insurance tax deducted from people's paychecks and vouchers to buy coverage.
Those are the sort of ideas we should be talking about, he said. Instead, we're having a schoolyard fight over who has the better lunch.
"Both sides are basically cherry-picking information," McCombs said. "What we're seeing are mostly half-truths."
It would be nice to think we're better than this. Obviously we're not.
It also would be nice to think that the American people aren't easily duped by shameless propaganda. But it's been shown again and again, since the days of Joseph McCarthy, that irrational, unsubstantiated fear is among the most potent of weapons in the American political arsenal.
Healthcare reform is too important for politics as usual. On this issue, if no other, we should at least agree to act like grown-ups.
David Lazarus' column runs Tuesdays and Fridays. He also can be seen daily on KTLA-TV Channel 5 and followed on Twitter @Davidlaz. Send your tips or feedback to firstname.lastname@example.org.