--- title: Health Care: Repeal First Causes Millions to Lose Insurance description: Republicans plan to repeal the Affordable Care Act and work on a replacement later would cause 18 million more people to be uninsured. canonical: https://time.com/4862917/health-care-repeal-now-cbo-score/ author: Jack Brewster article:opinion: false article:content_tier: free article:published_time: 2017-07-18T16:54:23.000Z article:modified_time: 2026-02-23T16:36:24.151Z article:section: Politics og:title: Repealing Obamacare First Would Cause 18 Million to Lose Insurance og:description: A problem with the Republican Plan B. og:url: https://time.com/4862917/health-care-repeal-now-cbo-score/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt33a7d37a43bf2d71/6988d610cf40a83755c48982/gettyimages-693089780.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 og:image:width: 4000 og:image:height: 2250 og:image:alt: President Trump Meets With Senate And House Leadership At The White House og:type: article twitter:card: summary_large_image twitter:title: Repealing Obamacare First Would Cause 18 Million to Lose Insurance twitter:description: A problem with the Republican Plan B. twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt33a7d37a43bf2d71/6988d610cf40a83755c48982/gettyimages-693089780.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 ---  # Repealing Obamacare Without a Replacement Would Cause 18 Million to Lose Insurance > Sponsored content. 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Brief is free at time.com/newsletters. by [Jack Brewster](https://time.com/author/jack-brewster/) ## Jack Brewster Jul 18, 2017 4:54 PM UTC  Senate Majority Leader Mitch McConnell, a Republican from Kentucky, attends a meeting between U.S. President Donald Trump, not pictured, and House and Senate leadership in the Roosevelt Room of the White House in Washington, D.C., U.S., on Tuesday, June 6, 2017. Senate Majority Leader Mitch McConnell, a Republican from Kentucky, attends a meeting between U.S. President Donald Trump, not pictured, and House and Senate leadership in the Roosevelt Room of the White House in Washington, D.C., U.S., on Tuesday, June 6, 2017. Olivier Douliery/Pool —Bloomberg via Getty Images by [Jack Brewster](https://time.com/author/jack-brewster/) ## Jack Brewster Jul 18, 2017 4:54 PM UTC Senate Republicans’ fallback plan to repeal the Affordable Care Act and work on a replacement later would cause 18 million more people to be uninsured and premiums to spike by 20 to 25 percent next year, according to [a congressional report](https://www.cbo.gov/sites/default/files/115th-congress-2017-2018/reports/52371-coverageandpremiums.pdf). When Republicans passed a similar repeal-only bill in 2015, which President Obama vetoed, the Congressional Budget Office found that it would cause serious problems in the insurance market. After several Republican senators [came out against](http://time.com/4862315/health-care-bill-collapse-crossroads/?xid=homepage) the Better Care Reconciliation Act, President Trump and Senate Majority Leader Mitch McConnell floated repealing the law first as a Plan B. But that plan has already [faced criticism](http://time.com/4862750/health-care-congress-repeal-delay/) from other Republican senators, in part because of the effect founds by the old CBO report. “Repeal and delay would create massive uncertainty,” said Bruce Siegel, president of [America’s Essential Hospitals](https://essentialhospitals.org/), an association of about 300 hospitals dedicated to providing health care to poorer Americans. “You would push the insurance marketplace into a death spiral.” In a statement, McConnell said that “in the coming days” the Senate would vote on the 2015 bill as an amendment to the AHCA, the health repeal legislation passed by the House in May. > [](https://twitter.com/SenateMajLdr/status/887312292110635009) But Gary Claxton, vice president of the [Kaiser Family Foundation](http://www.kff.org/person/gary-claxton/), says that if the repeal-now, replace-later legislation is passed, it would cause the individual insurance marketplace to “meltdown.” “In two years it would cause very significant problems in the non-group market,” he added. “The premiums would escalate very rapidly.” ```json [{"@context":"https://schema.org","@type":"NewsArticle","@id":"https://time.com/4862917/health-care-repeal-now-cbo-score/","mainEntityOfPage":{"@type":"WebPage","@id":"https://time.com/4862917/health-care-repeal-now-cbo-score/"},"headline":"Repealing Obamacare Without a Replacement Would Cause 18 Million to Lose Insurance","datePublished":"2017-07-18T16:54:23.000Z","dateModified":"2026-02-23T16:36:24.151Z","description":"Republicans plan to repeal the Affordable Care Act and work on a replacement later would cause 18 million more people to be uninsured.","url":"https://time.com/4862917/health-care-repeal-now-cbo-score/","keywords":["Congress","Health Care","Obamacare","Affordable Care Act","Mitch McConnell","Donald Trump","Better Care Reconciliation Act"],"thumbnailUrl":"https://static.time.com/v3/assets/bltea6093859af6183b/blt33a7d37a43bf2d71/6988d610cf40a83755c48982/gettyimages-693089780.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","author":[{"@type":"Person","name":"Jack Brewster","jobTitle":null,"url":"https://time.com/author/jack-brewster/"}],"articleSection":"Politics","image":[{"@type":"ImageObject","url":"https://static.time.com/v3/assets/bltea6093859af6183b/blt33a7d37a43bf2d71/6988d610cf40a83755c48982/gettyimages-693089780.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","width":1200,"height":675,"headline":"President Trump Meets With Senate And House Leadership At The White House","caption":"President Trump Meets With Senate And House Leadership At The White House","creditText":"Olivier Douliery/Pool —Bloomberg via Getty Images","representativeOfPage":true}],"publisher":{"@type":"Organization","name":"Time","url":"https://time.com/","logo":{"@type":"ImageObject","url":"https://time.com/images/logo.png","width":528,"height":156},"foundingDate":"March 3, 1923","sameAs":["https://www.facebook.com/time","https://www.instagram.com/time/?hl=en","https://twitter.com/time","https://www.pinterest.com/timemagazine"]}},{"@context":"https://schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"/section/politics/","name":"Politics"}},{"@type":"ListItem","position":2,"item":{"@id":"/tag/congress/","name":"Congress"}},{"@type":"ListItem","position":3,"item":{"@id":"https://time.com/4862917/health-care-repeal-now-cbo-score/","name":"Repealing Obamacare Without a Replacement Would Cause 18 Million to Lose Insurance"}}]}] ```