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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