Republication efforts to develop legislation to replace the Affordable Care Act (aka Obamacare) have been at the forefront of national news. The Congressional Budget Office’s estimate of the House bill would result in reducing the deficit over the coming decade by $119 B while increasing the number of uninsured Americans by 23 million in 2026. The Senate drafted its own version the bill which CBO predicts will reduce the deficit an additional $202 B over the House version while adding 22 million uninsured by 2026. With major concerns expressed about cuts to Medicaid spending, the Senate amended the bill that CBO estimates will reduce the federal deficit further (total $420 B over the coming decade still) but still results in adding 22 million to the uninsured roles. Repealing the ARA without replacement has been estimated by the CBO to reduce federal deficits by $473 billion over the coming decade and increase the number of people who are uninsured by 32 million in 2026.