Would you trust your health or your life to "repeal and replace"?

Because that is what has been asked of me and some folks I know.

Serious question. Are you in a position where your access to health care rests on "repeal and replace" working out?

Replace with what, exactly?

A few years ago I read an article in the online version of some magazine -- Fortune, maybe -- that was attempting to rebut the argument that the GOP opposed the ACA but had never offered a coherent counterproposal. The author listed maybe a dozen plans that had been put forth by various Republican legislators.

I commented on the piece that a dozen plans is no plan. The GOP needed, I argued, to settle on a single plan to go to the voters with and say, "Here, this is what we should do instead of the ACA." Nothing like that has ever happened.

Well, now they'll have their chance to repeal the ACA with or without a replacement in hand. I won't be surprised at all if they don't replace it with anything, and we'll be back to where we were. -- Which will really put a damper on people over 45 or so quitting their jobs to do startups.

> I'm sure Trump's solution will not leave you in the cold.

I hope you're right, but I don't know how you can possibly be sure.

The current insurance market is not a permanent thing. If you look at the ACA marketplace, the list of plans changes year by year and that's the same thing that happens on the private market. In that context, what does keep your insurance even mean? Yes, I highly doubt we'll get dropped from our insurance plans in the middle of the year, but those of us on the independent market almost always have to buy a new plan every year. As such, the question of whether or not we can obtain a new plan is extremely important.