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I think what people are missing is this battle is all about the 40 million people who did not have health insurance for one reason or another, prior to Obamacare.
There are better ways to fix that than completely dismantling the existing system, and building a new federal system. Don't kid yourself. Full - on socialized, unionized medicine was the ultimate long term, goal, and the Democrats were willing use false promises to screw the 320 million who were just fine to get there.
It's the Republicans fault for not doing anything about it when they had he numbers that led to Obamacare in the first place. So here we are, trying to construct a form of Obamacare that works.
There are only three payers: the patient/family, the employer, or the government,
What numbers did they have? Not one Republican voted for it, and several Dem senators had to be bribed to vote for it. No one even knew what Obamacare was, but the leftwingnuts today think it's the best thing in the Universe because a big D president wanted it. That's all they know. They know the name Obamacare. They lie about the skyrocketing costs, and omit all the lies about cost savings that Obama promises not to mention keep your doctor/keep your plan. It's also sick the way they think the world will end if it's repealed. It's nothing more than a tax law according to Justice Roberts; and it doesn't work. It's a total piece of **** from top to bottom.
Anyway, both Ryan and Trump want a replacement to pass the same day as the repeal; so Dems just need to STFU about that.