Why doesn't the Rup take what's good about Obamacare and fix the cracks? There as many Republican voters on medicaid as Demos.  Also, as much Repub V w preexisting conditions Demos.  Those components work.  The insurance companies don't see it that way, but the congress works for the people right? The problem with Obama care is that a lot of red states choose to not participate in the pool.  So they used mediaid instead.  So for those states, the people have no choice but to use Medicaid for medical insurance coverage, now the senate wants to slowly kill medicaid? They are nuts. Young people are not participating in the pool because they can't afford it.  A lot of red states do not have enough subsidies to balance out the cost for the higher priced insurers like the healthy younger voters.  Not because they couldn't pass new state laws to cover them, but because they don't believe the states should pay for it.  That's the rub, republicans want to not spend the money to help save lives.