Repealing and replacing Obamacare was one of the rallying points for President Trumps presidential campaign, but has proven to be difficult even with a Republican-controlled Congress. There are a number of reasons that repeal and replace has been difficult, even though the Affordable Care Act (the ACA) was, at best, an imperfect solution to the modern healthcare crises. Public support for repealing Obamacare has lessened as people have become aware that Obamacare and the ACA are the same thing. Republicans have not been able to develop a plan that would provide better care for the American people without having an individual mandate. Finally, the for-profit medical structure currently in the United States makes it difficult, if not impossible, to provide significant reform. These barriers make it seem unlikely that Obamacare will be repealed or replaced in the near future. Perhaps the most significant barrier to repeal and replace is the fact that support for repeal and replace was based, in part, on people not understanding Obamacare. A large segment of the voting population that supported repeal and replace did not understand that Obamacare and the ACA were the same program. In addition,...

When people began to realize what benefits they would lose if the ACA was repealed, popular support for repeal began to wane (Pramuck, 2017). It became clear that the voters would not settle for simply replacing Obamacare, but were demanding a better replacement.
However, crafting a better replacement was more challenging than many Republicans initially realized. One of the most significant ways that Obamacare improved health care access in the United States was by greatly expanding the pool of Medicaid-eligible people. Attempts to reduce those numbers would result in millions of people losing their health coverage. In addition, the health savings accounts that the replacement plans suggested as an alternative to health insurance would not realistically be large enough to see a person through even a minor medical issue. One of the problems is that the replacement bills wanted to eliminate the individual mandate. However, a viable replacement would have to expand coverage and make coverage more affordable for people, which is not possible under the current healthcare system without an individual mandate pulling healthy people into the system.

Finally, the replacement efforts…