Update: Vote no on the AHCA bill as current Amended. The MacArthur-Meadows amendment makes the AHCA worse. States seeking waivers to pull out of covering pre-existing conditions leaves people established in a state with a possibility of loss of care should their insurance be interrupted. Likewise it would be a significant obstacle to care givers of elderly parents to be able to relocate their parents to a state that has obtained a waiver. And for me, how can I accept a promotion or new job in another state that may have obtained a waiver for fear of future job loss and insurance interruption. Throwing a pool of money to serve as a bandaid for coverage - merely acknowledges the very problem created by this amendment, but offers no long-term solution. Further, with no CBO input, the House is voting blindly on a bill which they have no idea who will be hurt, and who will not. We, the electorate, will remember those who vote against our interests. ***original comment follows *** The AHCA is a dreadful excuse for a replacement of ACA. It does more damage to those who can least afford it while heaping cost breaks on corporations, insurance companies, device makers, and the wealthy. Any program which results in a loss of insurance for 24-26 million Americans is unacceptable. Any program that allows insurers to charge older Americans 5x more than others, while effectively cutting back on available tax credits, does not fix what is broken in ACA. Any replacement plan that removes the mandate for insurance is simply removing a financial underpinning of the ACA or any insurance program which makes it viable - by insuring both you healthy and older sicker participants. A 30% premium hike for those who, with the reduced tax credits of the AHCA, do not believe they can afford coverage under AHCA today is absurd - if they can't afford it today, there is little likelihood they will afford it with a 30% hike when they get sick. People will forego medical care, or seek out medical care via ERs, and cost everyone more in the long run. And, what about Medicaid cuts - who among us could afford $93,000 a year for long-term nursing care. Who among us can count ourselves so lucky as to never having to entertain the possibility that we could require long term nursing home care? Stroke, Rheumatoid Arthritis, MS, Alzheimer's, a vehicle or industrial accident, sporting accident, violent crime, etc. God forbid - but any one of us could have this need not long years down the road in our twilight years at the end of life - but next week, next year, or many years out. And one year would be financially impossible for most - yet my 78 yo aunt with RA is entering her 3rd year for nursing home care. None of us should presume that Medicaid is unimportant to us. And what about those who have a lifelong need for Medicaid because of physical or mental developmental issues? How is anyone supposed to do this? Perhaps the 1% can sleep easy...but I can't, and the rest of us shouldn't. Anyone voting for this bill is medically and financially putting a nail in the coffin for millions. Anyone with a conscience could not possibly vote in favor of this bill. Racing to pull together a replacement bill only to conclusion as the POTUS did "Nobody knew how complex healthcare could be." Well actually there are many who did --those who labored long and hard on the ACA. For the GOP to pull the AHCA out of their proverbial @sses to meet some arbitrary self-imposed deadline is reckless and a failure to serve the people of this great nation.