What Happens If Republicans Repeal Obamacare Without a Replacement Plan?

What Happens If Republicans Repeal Obamacare Without a Replacement Plan?

What happens if republicans repeal obamacare without a replacement

After an exhaustive, contentious, and costly battle over Obamacare repeal, Republican senators are deliberating whether and to what extent their replacement plans should go. Their decisions could have significant ramifications.

If Congress were to repeal and replace Obamacare without offering an alternative solution, major coverage gains could be undone and millions more Americans left without access to medical coverage.


Repeal of the Affordable Care Act would cost more than previously estimated on a conventional basis, as its market reforms could destabilize individual and small-group insurance markets, leading to higher premium increases for both.

Market changes may have contributed to slowing health care cost growth in recent years; however, CRFB does not incorporate this factor in its official score because it remains uncertain whether these market shifts can be sustained over time.

Repeal of Obamacare would bring about higher costs for consumers and less access to insurance coverage. Furthermore, it would increase federal deficit by trillions of dollars and put families under more strain when their spending capacity for food or housing decreases due to reduced coverage – further damaging the economy – leading to even more complications for preexisting condition sufferers and further straining economies across the board. As a result, many Republicans are moving away from simply repealing it in favor of replacing it instead.


As it grapples with its failures, the GOP is discovering that repealing Obamacare may not be as straightforward as initially promised on the campaign trail. A secret recording from one of their policy meetings in Philadelphia indicates this reality as many may fear its political cost as they withdraw coverage from people who have come to depend on it.

Millions of Americans would lose access to health insurance should Congress repeal the ACA, leaving millions unprotected and many jobs at stake. It has made healthcare more affordable for families by helping pay premiums more easily while eliminating lifetime caps; also supporting jobs by giving consumers extra spending power at restaurants, grocery stores and other businesses.

Some Republican plans would weaken or repeal the Affordable Care Act’s provisions against discrimination on the basis of preexisting conditions, while others might restore them by offering fixed-dollar credits or deductions to help pay for health care costs. According to estimates by the Congressional Budget Office, such plans could cause 21 million people to lose coverage.

Preexisting conditions

The Affordable Care Act made it illegal for insurance companies to exclude those with preexisting conditions from coverage, helping millions of families obtain affordable health care coverage. If the ACA were repealed, those with such preexisting conditions could see their premiums skyrocket or lose it altogether.

Most Republican plans aim to scale back some of the Affordable Care Act (ACA)’s insurance benefit requirements, such as coverage of women-specific preventative services — commonly referred to as birth control mandate – by insurers, or to eliminate it entirely; such plans might also eliminate annual and lifetime dollar limits on policies set by the ACA.

This scenario would move us back toward higher uninsured rates that existed prior to ACA’s reforms – something most Americans do not wish for.


Senate Republicans have been quietly crafting and discussing their Obamacare repeal plans for weeks in secret, with several plans including taxes that will increase premiums or decrease coverage, Medicaid changes, and even potential changes to Medicare that could alter coverage for millions of people.

The Congressional Budget Office and Joint Committee on Taxation estimate that many of these alternatives will lead to fewer employers offering health insurance to their workers, while costs will likely increase for those that do offer coverage. CBO/JCT anticipate that many workers may choose to purchase coverage on the individual market or enroll in public programs instead – or go without it entirely.

As well, in order to offset any cuts caused by repeal of ACA, Republicans would either need to find hundreds of billions in additional revenue or savings sources or increase deficit spending – neither option being popular among voters given their track record on health care issues.

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About the Author: Raymond Donovan