If the AHCA were coming to the Senate floor for a vote on final passage, its failure would be a near certainty.
It's no grand revelation that Republicans have bungled the Obamacare repeal bill beyond belief.
The sands of public opinion have shifted dramatically under the feet of Republicans regarding health care coverage.
On Wednesday, the president hosted Republican senators at the White House and attempted to twist arms - through bluster and thinly veiled threats.
While the future of Obamacare floats in the air, millions of healthcare consumers may worry about what could happen to them and their families.
"If you have 53,000 people past year who sought treatment for substance abuse and other issues, there is success to be found in that program", Porter said. The Congressional Budget Office has said that 22 million fewer Americans would have health insurance by 2026 if the Senate bill were to become law. Health insurance companies will only remain in a market that is profitable, a point underscored by the "historically large profits" posted by the biggest health insurers this year.
Even if the political mumbo-jumbo uttered by opponents of the ACA was true, one is astonished to hear that, for them, depriving 22 million people of health care altogether is more desirable and better than fixing the administrative snaggles that now exist. At that time, he felt comfortable leaving a corporate job with health benefits and going out on his own because the state where he then lived, Massachusetts, had established a system guaranteeing affordable individual-market coverage without regard to health status. "I don't think any small business or self-employed person wants that kind of volatility", he said.
"You take away the subsidies, you take away the mandate for healthy people to have insurance and you just exacerbate problems that we are already seeing on the individual market", said Piper.
The survey didn't specify how the government might make sure that people have coverage, but a true guarantee entails something like the "Medicare for all" plan that was a rallying cry for Vermont Sen. The only difference might be that it would take longer to feel the pain.
Partly this is because the GOP version of reform would have first done harm to our most vulnerable citizens - the elderly, the disabled and the poor. Sen.
Kurt Mosley, vice president of strategic alliances at Merritt Hawkins health consultants, doesn't see things quite as drastically, but he does believe there would be significant impacts under a repeal.
Yet many substantive amendments were adopted, including provisions requiring members of Congress to buy insurance through the public health exchanges and allowing small businesses to band together to provide coverage. "It imposes a particular burden on the self-employed, who don't know what their income will be year-to-year", Collins said, pointing to lobstermen, hairstylists, plumbers and electricians.
In Western New York, the future of insurance coverage for thousands of people is at stake.
Medicaid expansion, he noted, is still needed for children as well as for opioid addiction treatment programs. Failing to do so means we're not serious about the goal of quality care for all Americans.
The report says eliminating ACA would hit some groups especially hard, including people of color, young adults, and those with no education beyond high school. "For plans providing some benefits before the deductible was met, such as a limited number of primary care visits or generic drug purchases, the deductible would be higher", the CBO notes.
"Bad debt will go up because people won't have enough insurance", said Burt.