Congress is Working on a new health care law, the AHCA
The current US congress is trying to replace the PPACA with the AHCA. The first try in Congress failed, but senate Republicans keep trying to come up with something that will work. Traditional Republican ideas, like Vouchers, are also going to be exclusionary and will not help poor people in any kind of comprehensive fashion.
What would be ideal is to simply expand Medicare to everyone. A simple model, it could help all poor people, and then on top of Medicare you could have private insurance policies for those with money who want higher levels of care. This may be the best answer in the long term for the US - if Congress would ever get brave enough to do it.