Republicans fear a disappointed base amid health care struggles

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In their report, the CBO said that a repeal-only bill would result in insurers dropping out of the marketplace as soon as next year, and would leave approximately half of the nations population without any ACA insurers by 2020, which would increase to about 75% by 2026. If Senate Republicans opted for the repeal-only bill, there would be a two-year delay so they could presumably formulate a new health care law before uprooting the current system.

The Republican-led effort to undo President Barack Obama's signature healthcare law has produced high drama, internal division, and a series of political twists and turns.

At least 20 senators met on Wednesday night to try to find common ground on a healthcare repeal plan after Trump directed them to remain in Washington through the summer recess until a solution is found. That's highly unlikely with the president in a weak negotiating position and with polls showing "Obamacare" is more and more popular with the public and that the Republican plan, such as it is, has little public support.

This straight repeal would eliminate states' expansion of Medicaid eligibility and Obamacare's individual mandate, among other provisions, but retain regulations protecting people with pre-existing conditions and mandate that plans continue to offer specific benefits.

McConnell has set aside this bill for now, saying that he plans to bring a different measure to a vote next week.

By 2026, 50 million Americans would lack health coverage, compared with 28 million if the Affordable Care Act were left in place, the Congressional Budget Office projects in its new report.

Make no mistake, President Donald Trump is correct when he says Obamacare is failing. "And this bill is on my desk and we can sign it and celebrate for the American people". He added that the bill "did nothing to deal with access-to-care problems", noting that for many Americans, wait times to see doctors have increased and access to primary care services have worsened. "If people thought the latest Trumpcare bill was bad, full repeal of the Affordable Care Act would be catastrophic".

"Sometime in the near future we will have a vote on the repeal of Obamacare", Mr McConnell said. Repeal bill, it said would also reduce the federal deficit by $473bn (£363bn). They failed to account for the changed - and more hard - dynamic with a Republican in the White House ready and eager to sign whatever gets to his desk. Technically, the administration could cause difficulties for Obamacare by perhaps withholding subsidy payments to insurers or not advertising the annual sign-up period for the programme.