new york republican president-elect donald trump vow campaign trail repeal obamacare make good promise may easy say do president barack obama 2010 national healthcare reform law extend medical insurance 25 million people expand medicaid plan poor create subsidize coverage individuals republican lawmakers vote 50 time repeal part law begin press trump deliver senate majority leader mitch mcconnell say wednesday repeal obamacare pretty high item agenda new congress complete repeal obama affordable care act may immediately card republican lawmakers hold 51 seat senate late count well short 60 seat require overturn instead health policy experts say trump could try dismantle key elements process call budget reconciliation would allow eliminate fund income-based subsidies make new insurance plan affordable cut money provide expand medicaid benefit 31 state policy experts republican side would say tear start would disruptive say paul howard director health policy conservative manhattan institute part law weaken legal challenge several large u.s. health insurers pull exchange individual coverage lose money sicker-than-expected group patients consumers eligible government subsidies see premiums rise sharply include project average increase 25 percent 2017. scrap law altogether without clear plan provide replacement coverage many people would politically risky experts say trump also would face tight deadline try dismantle insurance exchange 2018 many state-based health insurance regulators require insurers submit plan upcoming year april may months new administration trump also could seek change provision law tax medical device makers so-called cadillac tax due hit rich employer-based healthcare plan 2020. however elements could eliminate deprive law fund instance law prevent insurers deny coverage people base health price insurance base gender mandatory coverage preventive benefit also would unaffected short complete repeal also clear trump would try reverse individual mandate require people purchase health insurance pay penalty goal requirement broaden pool policyholders include healthy americans aetna chief executive officer mark bertolini say thursday new york time dealbook conference elements law popular likely continue even something trump call repeal include allow young adults stay parent plan people health problems buy insurance without pay medicaid could continue expand say though different type federal finance trump surprise victory democratic candidate hillary clinton rattle healthcare investors wednesday depress share hospital operators insurers medicaid focus health insurer molina healthcare inc. fell nearly 16 percent hospital chain tenet healthcare corp drop 25 percent large insurers lose money exchange gain anthem inc. 1.5 percent enrollment open nov. 2017 coverage plan purchase would legally difficult trump cancel one-year contract run say molina healthcare chief executive officer dr. mario molina change make prospective basis begin 2018 molina say clear trump plan replace obamacare would look like options raise campaign trail include replace obamacare individual coverage high-deductible healthcare plan lump sick people together high-risk pool insure separately think go lot confusion lot anxious people molina say among worry people cover obamacare long last law take effect marc dobin 57-year old mediator lawyer jupiter florida say insurer put surcharge premium heart stents obamacare insurers bar charge pre-existing condition imagine disaster part way year cancel dobin say others cost premiums bolster support trump crista simmons 63 piano teacher kalamazoo michigan spend third gross income premiums medical care people pay premiums mortgage say trump promise repeal obamacare