Nothing: Trump won't be able to change it
Trump and the republicans will eliminate it
It will get changes made but remain
He'll shoot for Universal Health Care at the horror of the republicans
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He cant do the impossible..no one can, even if they promise you they can.
Unless something unusual happens like Democrats not caring if people die too, they can't get the 60 votes they need to repeal it but they can remove protections at will because they don't need a super majority to do that. I suggest everyone watch this closely because even with that limited ability they can still let people die. The most vulnerable are those making $60,000 or less annually. Watch it close if you want to live.