This is not a bill to improve health care; it's a bill to repeal taxes on very wealthy people. The House-passed version of the American Health Care Act would strip $834 billion from Medicaid, deprive 23 million Americans of health insurance over a decade and spike premiums in the individual insurance market by 20 percent in the first year alone, according to the nonpartisan Congressional Budget Office. The legislation would leave many Americans with pre-existing conditions without access to affordable coverage, the CBO concludes, "if they could purchase it at all."