Ever since Hillary Clinton dropped a fifty pound document describing a new health plan for America back when her husband was president, the Republicans have been dead-set against anything that comes between a patient and their insurance company. People like to say "America is #1", but the reality is that about the only things we're number one at are things not to be proud of, including bankruptcies because of medical bills.
That hasn't stopped the Republicans from trying to prevent any sort of healthcare reforms or health insurance regulations. When they couldn't stop the ACA from becoming law, they made it their life mission to destroy it. Over fifty votes later in the Republican-controlled House, they still haven't been able to repeal it.
What they haven't been able to accomplish via legislative means they might actually accomplish via the courts (or - in their words - "legislating from the bench", which they rail against until it goes their way).
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