We are at this very odd moment now. We thought ACA was saved by a narrow vote some months ago, when John McCain joined Susan Collins and Lisa Murkowski to block the last version of Trumpcare. Whew! No need to worry about millions of people having their health insurance taken away! Time to start pushing for single payer, Medicare for all, hah hah! But, ooops!
So here we are with only 12 days to go before the window in which the US Senate can pass a repeal and replace of ACA using budget resolution, and thus with only a majority vote. But, hey, here we have Cassidy-Graham, which would turn the whole thing into block grants to the states, allowing them to allow insurance companies to charge more for preexisting conditions and pretty much get rid of all those things people have liked about ACA once they began to realize that it might disappear. But now hardly anybody is aware of what is going down at all, with near zero media attention, since we all moved on to Korea and DACA and whatever.. But this stealth Cassidy-Graham bill could very well pass.
It looks like Collinis and Murkowski will again vote no, realizing that it slashes the Medicaid expansion, among other things, and would kill insurance for many people in their states who currently have health insurance thanks to ACA. But one of the co-sponsors, Lindsey Graham of SC, is John McCain's closest ally and friend in the Senate, maybe in all of Washington now. Reports have it that McCain is in fact thinking seriously of voting for this bill, which most reports say is actually worse than what got shot down previously by McCain's swing vote. The only other reported possible negative vote is Rand Paul, who is claiming this bill still contains too much of ACA, but he voted for the "slim repeal" after similar complaining last time. He could easily vote for this.
The hard bottom line is that we could wake up in a week or so with this awful bill passed, ready to whiz through the House for Trump to sign, and Obamacare dead after all, with millions set to lose their insurance, with barely anybody even knowing what is up. This is a seriously bad business.