This story was originally published on nationaljournal.com on March 10, 2017 In many ways, the chal­lenge fa­cing Re­pub­lic­ans in en­act­ing their Amer­ic­an Health Care Act looks pretty close to in­sur­mount­able. The most con­ser­vat­ive mem­bers of the House Re­pub­lic­an Con­fer­ence, as well as al­lied groups such as the Club for Growth, Freedom­Works, the Her­it­age Found­a­tion, and Breit­bart News, are de­rid­ing it as “Obama­care Lite” and a be­tray­al of prom­ises to scrap the Af­ford­able Care Act. Mod­er­ates and law­makers from swing dis­tricts are nervous that the bill goes too far, and could res­ult in many people los­ing in­sur­ance, cut­backs in state Medi­caid pro­grams, and a par­ing of pub­lic-health pro­grams. Even law­makers who didn’t hold town meet­ings dur­ing the re­cent re­cess saw what happened to those who did, and they’re feel­ing the heat. Key pro­vider groups such as the Amer­ic­an Med­ic­al As­so­ci­ation, the Amer­ic­an, Cath­ol­ic and Chil­dren’s Hos­pit­al As­so­ci­ations, and the Amer­ic­an Nurs­ing As­so­ci­ation, along with con­sumer groups in­clud­ing the AARP, have come out against the plan. House Speak­er Paul Ry­an and oth­er pro­ponents of the bill must feel a little like Gen­er­al

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