Repeal and replace is dead. Now what?


  • Republicans have ran on a platform of “repealing and replacing” the Affordable Care Act (ACA) and those efforts culminated in what was dubbed the “Skinny Repeal Bill“.
  • The U.S. Senate, which already rejected an upright repeal 55-45, also rejected the Skinny Repeal Bill with Sen. John McCain (R-Arizona) being the deciding vote.
  • President Trump continues to signal the focus will remain on healthcare, even tweeting out that reform is “not dead”.


Healthcare is crucial to the way of life in a first world country. Healthcare is also on pace to become the largest economic industry in the world. With that efforts to make sure people are insured and can afford to get the care they need, have hit a crossroads with Democrats refusing to let go of ex-President Barack Obama’s legacy and Republicans refusing to give up on repealing and replacing it with a reform bill. With premiums rising and costs skyrocketing, if no reform happens or Obamacare is just repealed without being replaced, millions could lose health insurance.

  • ACTION NOW – “We can’t wait for healthcare to implode”

    • Sky high:  The cost for health insurance in the U.S. is skyrocketing, bringing financial burden upon many.
    • Obstructionism:  Democrats have done nothing to help this process and are not willing to come to the table to fix the broken healthcare industry.
    • Pleasing the voters:  Voters clearly want a change from Obamacare so ignoring their voice and choice would be detrimental come the next election cycle.
  • LET OBAMACARE WORK – “We can’t afford to have millions uncovered”

    • Upgrade:  While there are issues, the system now works better than the system before Obamacare.
    • Secrets are no fun:  The entire Republican bill was drafted in secret, without any public hearings for expert testimony.
    • Loss of coverage:  Without Obamacare, literal millions will lose health coverage, putting them at risk and in even worse financial stress.


  • Some Republicans are looking to move on to Tax Reform, an issue more likely to get a head of steam than healthcare, but President Trump continues to focus on healthcare.
  • After multiple failures President Trump’s approval ratings have hit historic lows.
  • With partisan political strategies starting to fail the legislative process in Congress, a bipartisan group is working together on health care reform.
  • President Trump, also via twitter, stated he may end subsidies which have helped ease the financial strain of Obamacare.


  • Some Republican Senators stressed they were voting for the bill, but hoped it would never become law, hoping the House of Representatives would find a better alternative.
  • With multiple failures in hand, will Republicans wholeheartedly reach across the aisle to get reform done?
  • Would Republicans really keep up with a strategy that is clearly a losing strategy in terms of getting bills and reforms passed?
  • If President Trump does end subsides and basically implodes Obamacare, would that be a politically smart move as millions could lose insurance or seeing even higher premiums?