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Simply repealing the ACA as many conservative groups are proposing gets rid of its Medicaid expansion but leaves in place the expensive, open-ended federal Medicaid commitment. The AHCA is the first and best chance to actually slow Medicaid’s growth. Paul Ryan was right, If it fails to pass, conservatives may not get another chance.


The AHCA is getting a lot of flack from both the left and the right, that to me means it may be a good idea, I don't love it, and the way it's written doesn't change enogh for me. . It far from perfect but it could be very good with some adjustments. And as Speaker Ryan has pointed out, it is not the final word on healthcare regulation. HHS Secretary Price will have the opportunity to rescind or modify hundreds of healthcare regulations and additional legislation dealing with issues that can’t be addressed in a reconciliation bill.


Unless and until naysayers on the right come up with a better plan, providing tax credits to help a small group of Americans purchase health insurance seems a small price to pay for limiting our largest healthcare entitlement and replacing most of the much reviled ACA.


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