report standard poor global rat monday suggest late propose healthcare bill overhaul obamacare could hurt u.s. economy state health insurers graham-cassidy-heller-johnson gchj bill implement could lead 240 billion lose economic activity 2027 impact 580,000 job report indicate bit.ly/2fmrr6y bill would take federal money spend medicaid program poor disable well subsidies help individuals buy private insurance deliver state block grant rat agency also add gchj bill could cause great disparity among state term rule insurance market uninsured level gchj bill await senate vote monday could lead 21 million few americans health insurance propose healthcare bill may hurt u.s. economy