Except you (just like many others) are just saying the regulations are in place for a “reason.” Those reasons are absolutely against the interests of the people that need health coverage. And no other system of contractual obligation works in this bizarre system that absolutely gets fouled up regularly - even if it is through human error (which a well designed system can account for, and this one specifically does not).
I don’t really care that you have a lot of experience working on the system, I’ve had the same level of experience being forced to use it.