"Legislation can be crafted bottom up or top down. In bottom up you ask:What problems do voters have and how can they be addressed. In top down, you ask: What problems do elite politicians have and how can they be addressed? The House health care bill is a pure top-down document; not molded to the actual health care needs of regular voters. It was written by elites to serve the needs of elites. Trump vowed to drain the swamp, but this bill is pure swamp. I opposed Obamacare. I like health savings accounts, tax credits & competitive health care markets. But these free-market reforms have to be funded in a way to serve the least among us, not the most. This plan would increase suffering, morbidity and death among the middle class and poor in order to provide tax cuts to the rich. With this bill the GOP leadership sets an all-time new land speed record for forgetting where you came from."