It is quite sinister of me, I recognize, but I'd be lying if I said there wasn't a non-trivially sized part of me that hopes the Senate passes Trumpcare without alteration. That 40+% must be hit in the face with a brick.

The only true success of the ACA was the part that mimicked Single Payer. Namely, the expansion of Medicaid that allowed 27 year old under/unemployed workers to purchase a health care plan they could easily afford. One of my daughters has a policy that costs $20.00/month because she made less than $16,000/year (slightly more than full-time minimum wage work) working as a waitress after graduating from college.

There are large numbers of people who did qualify for affordable health insurance who will no longer qualify if the House's bill passes without modification. That is, there are a lot of people on similar financial ground to my daughter that will most definitely be negatively impacted should the draconian bill passed hastily by the House become law.

In 2015, 78.2 million workers age 16 and older in the United States were paid at hourly rates, representing 58.5 percent of all wage and salary workers. Among those paid by the hour, 870,000 workers earned exactly the prevailing federal minimum wage of $7.25 per hour. About 1.7 million had wages below the federal minimum.

https://www.bls.gov/opub/reports/minimum-wage/2015/home.htm

In the end, NO ONE is going to be happy if the abortion passed by Eddie Munster Senior goes through because what will happen to those millions of people who don't have access to expanded Medicaid benefits? They'll stop getting injured and/or sick, right? Nope. They'll go to their community hospitals that are mandated to treat patients and those hospitals will eat the losses, which in turn will drive up the premiums for those of us who can still afford insurance. For all practical purposes, I don't have insurance anymore since my employer forced Health Savings Accounts on us (read: YAN method to feed the bankster class). No one will go unscathed if this thing gets through the Senate.