The following are some of the most important changes the Senate GOP should make to the House bill:

Strike a Medicaid Compromise.

Provide More Generous Subsidization of Lower-Income Households.

Fix the AHCA’s Premium Surcharge.

Embrace Auto-Enrollment.

Limit the Tax Preference for Employer-Paid Premiums.

Provide More Flexible Use of HSAs.

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Almost every promise made eight years ago about ObamaCare turned out to be a falsehood. You couldn’t keep your insurance plan, doctor or provider in many cases. It didn’t save $2,500 per family (more like $2,500 more). It didn’t lead to expanded patient choice. And the tax increases badly hurt the economy and jobs market, and the insurance markets really have entered a death spiral that if left unfixed will blow-up the entire insurance market.

The fundamental lie of ObamaCare is revealed in the law’s very title: The Affordable Care Act.

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Health care has become an ongoing source of pain for many small-business owners. It was the top issue owners wanted Trump to address in a survey of 700 owners and prospective buyers in late February by BizBuy Sell, a marketplace for small businesses.

Among respondents, 60 percent favored an ACA repeal. The major reason: spiraling health insurance premiums — often a result of insurance companies fleeing the marketplace.

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