Some Republican leaders in Congress are trying to pass legislation rolling back and replacing key features of the ACA without securing any Democratic support in the effort. The ACA was passed in 2010 with only Democratic votes, and that is a major reason the law remains politically and, to a degree, programmatically unstable. The Democratic Party has lost numerous seats at the federal and state levels of government since the ACA was enacted. It would be better for the United States if a broad consensus could be reached on health care. A bill that passed with support from some Republicans and some Democrats has a better chance of political survival than a bill passed by just one party.

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