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'The ACA created a three-legged stool which has reduced the percentage of Americans without health insurance to a record low: 1- regulations that prevent insurers from discriminating against people with pre-existing conditions,2- a requirement that individuals have adequate insurance (and thus pay into the system while healthy) and 3 subsidies to make that insurance affordable. For the lowest-income families, insurance is provided directly by Medicaid. The new bill saws off all three legs of that stool. Did Graham-Cassidy’s sponsors know what they were doing when putting this bill together? Almost surely not, or they wouldn’t have produced something that everyone, and I mean everyone, who knows anything about health care warns would cause chaos. It is the distilled essence of everything wrong with modern Republicans and says a lot about the GOP , none of it good.'