By repealing rules that spread the risk of insurance over the whole population, this bill will make insurance rates for those who really need it explode. That includes the millions of people who were covered under Medicaid expansion. Pulling the rug out from these people is not only downright mean, it will be far more costly in the long run. If you think too many people use hospital ERs for primary care now, wait till millions of people with pre-existing conditions like diabetes, heart disease, and back ailments can't get insurance. Think the opioid epidemic is bad now? Americans need to stop self-aggrandizing our healthcare system. It is not, nor never was, the best in the world. Far from it, especially for women and people of color. Going back is not an option.