The fact of the matter is this: The Republican Party is held hostage by liberal Republicans - think “the Susan Collins Wing” and many so-called “moderate Republicans” (think McCain, Jeff Flake, John Thune). These Republican members in the Senate, along with their counterparts in the House, view a powerful central government as the necessary key to problem solving in many areas of people’s lives, including health insurance/health services - with increasingly less reliance placed on free market forces.
To be fair, after nearly 8 years of Obamacare, during which time large government subsidies were provided, along with the dramatic expansion of federally subsidized Medicaid programs, the Republicans are confronted with a large block of voters who refuse to give up their newly minted “entitlements”. Once people get freebies (defined as benefits paid for by others), they are loathe to give them up. That said, let’s be honest - Republicans needed desperately to stand together and do the right thing, even if it meant risking their seats in Congress. Sadly and completely contrary to the will of the people who sent them and Trump to Washington, with very few exceptions they have refused to show any courage or conviction.
The provisions of the various iteration of health insurance “reforms” being kicked around by Republicans in both the House and now the Senate, are pure crap. As a result of this cruel farce, I have lost all hope that anything meaningful/beneficial will come of “replace and repeal”. I see no real repeal and scant little replacement.
After 7.5 years of House Republicans repeatedly voting to repeal - when they knew under Obama and a Democrat controlled Senate their votes didn’t count - then only to run and hide from a repeal vote now when it really matters - and on top of that, not have a repeal/replace plan ready to go this past January as congressional Republicans had boasted, tells me all I need to know.
Without a complete about face on this issue by congressional Republicans I’ll be staying home in November 2018. These son of a bitches aren’t worth my time or my money - and rest assured they will get neither.