"Access" does NOT equal guaranteed coverage and care. Currently the Republican are attempting to confuse people by claiming they'll guarantee everyone "access" to much better care at cheaper rates. What they mean is that IF you have the money, their friends will be happy to sell you a policy - excluding pre-existing conditions, with annual and lifetime caps, and deductibles and co-pays. I've already spent every penny I've ever earned, everything I saved, my retirement. There's nothing left. If the Medicaid expansion is repealed, I will die, because the constant care I require plus the very expensive medications are never going to be affordable. FIX ACA, no repeal!