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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There is no doubt the ACA is a failure and needs to be repaired but not necessarily repealed. The fine is going up to 2000 this year, that is unacceptable but so is taking away pre-existing conditions.
Trump has a lot of work to do.
A point to remind ourselves. An Insurance Company is a business. They employ actuaries to assess risk on which to base premiums. Insurance is designed to protect against unexpected loss. Signing on those people with pre-existing conditions without factoring that condition into their premiums violates the basic Fundamentals of Insurance.
Am all for compassion and accommodation. But those folks with pre-existing conditions cannot be dropped into the general pool without just discarding the pretense that we are even talking about "insurance" any longer.