It isn't a case of perfect being the enemy of good, it is that you're looking at what might potentially be the most corrupt, captured and incapable healthcare regulator in the modern world and advocating that they get even more power. That seems like a bad strategy. The US healthcare system won't be fixed by dissociating patients from the process even further.

The obvious thing to do is move power away from the regulator and make it easier for consumers to pay directly for treatment. It works for almost everything else.