Why is the GOP’s healthcare bill a ‘bad deal’?

Republicans in the U.S. House of Representatives are working on a healthcare bill that would repeal the Affordable Care Act, or ACA, and replace it with a “single-payer” system, where all Americans would be charged the same price.

While the legislation would eliminate the federal government’s Medicaid expansion and the federal-state exchanges that serve many states, it would allow states to expand Medicaid under a new system.

Republicans have said the bill would not allow insurance companies to discriminate against people based on preexisting conditions, but it would eliminate those protections for insurers, forcing states to sell policies on a single-payer system.

The Congressional Budget Office, a nonpartisan arm of Congress, said that would lead to 20 million fewer people covered by Medicaid in 2026, an increase of roughly $3 trillion over the current law.

Critics of the Republican plan say it would be more expensive and less effective than the ACA and could lead to the government paying out too much to insurance companies and leaving people uninsured.

(AP Photo/Manuel Balce Ceneta)