trumpcare provides significantly less coverage to significantly fewer people at significantly higher cost with a huge amount of kickback to insurance and pharmaceutical company CEOs. How can this be considered a suitable replacement for the ACA? There is nothing left to say. This is not a bill that provides health care coverage for Americans. The only way this should pass is if congress agrees to adopt it as their health care plan because it's just that great. Otherwise it's not good enough for the rest of us. The new. Erosion is even worse, providing huge tax cuts for the wealthy - so the house can move on to the tax reforms - huge cuts in Medicaid that will bigly harm children with disabilities, and essentially spell the end of coverage for preexisting conditions by making it optional for states, reducing the size of the coverage pools and allowing higher costs for coverage. 551 days till November 6, 2018.