' The G.O.P.’s various factions are now haggling over just how many millions of Americans they are willing to harm. The bill the House released on Monday would kick millions of people off the coverage they currently have.“This isn’t an Obamacare repeal, it’s a Medicaid repeal,” as the political writer Jonathan Allen put it. More than 20 million Americans gained health care coverage under the A.C.A., or Obamacare. Health experts say most would lose that coverage under the proposal. It would also for the first time ever, apply a per-person limit on how much the federal government spends on Medicaid. This change could shift about $370 billion in health care costs over 10 years to state governments, according to the Center on Budget and Policy Priorities. Many state governments, faced with limited budgets, would be forced to cut benefits or cover fewer people.'