Jonathan Chait wrote: “Health-care reform is extremely complicated even under the best of circumstances. But when you combine the inherent complexities of the subject with the ideological rigidities of the conservative movement, the problem goes from hard to prohibitively impossible. Providing access to medical care to the tens of millions of Americans who can’t afford it on their own, because they’re too poor or too sick, is arithmetically futile if you’re bound by a dogma that opposes redistribution from the rich and healthy to the poor and sick.”

The Republican Party set in motion the process of repealing Obamacare through a process known as “budget reconciliation,” which would allow the party to gut the law with a single party-line vote. But fissures quickly emerged within the party as public opinion shifted against the G.O.P.’s original plan to repeal the A.C.A. without a ready replacement.

The Republican party is split between Trump, who has promised that nobody will lose their coverage under his “terrific” plan; reasonable Republicans, who hope to keep the A.C.A. infrastructure in place, but repair certain elements with more “conservative incentives”; and more ideological conservatives who don’t believe in any government role in health care and believe that not everyone deserves to receive health care.

The Wall Street Journal reports that Paul Ryan and Mitch McConnell, lacking the votes from fellow Republicans for a plan that would create significant humanitarian and economic damage to the health-care sector and millions of voters who would lose their access to care, want to just push the bill ahead anyway.

84 percent of Americans—and 69 percent of Republican voters—are in favor of the Medicaid expansion, through which an estimated 12 million Americans have gained coverage.

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