As a nurse, I am horrified by this awful proposal. Yes, the ACA needs work. However, getting rid of it altogether will cause hospitals and health systems to redo the way they care for patients and bill them AGAIN, which is absolutely insane, expensive, and will no doubt disrupt care. The replacement Trumpcare is ludicrous. They want to keep all the positives of the ACA without keeping the portions that actually pay for the program and keep it functional. It's estimated that 24 million people will lose care. How on earth can that be justified by lawmakers? People will literally die.