Contextualizing the first-round failure of the AHCA: down but not out

J Neurointerv Surg. 2017 Jun;9(6):595-600. doi: 10.1136/neurintsurg-2017-013136.


On 8 November 2016 the American electorate voted Donald Trump into the Presidency and a majority of Republicans into both houses of Congress. Since many Republicans ran for elected office on the promise to 'repeal and replace' Obamacare, this election result came with an expectation that campaign rhetoric would result in legislative action on healthcare. The American Health Care Act (AHCA) represented the Republican effort to repeal and replace the Affordable Care Act (ACA). Key elements of the AHCA included modifications of Medicaid expansion, repeal of the individual mandate, replacement of ACA subsidies with tax credits, and a broadening of the opportunity to use healthcare savings accounts. Details of the bill and the political issues which ultimately impeded its passage are discussed here.

Keywords: Economics; Political.

Publication types

  • Review

MeSH terms

  • Delivery of Health Care / economics
  • Delivery of Health Care / trends
  • Humans
  • Medicaid / economics*
  • Medicaid / trends*
  • Patient Protection and Affordable Care Act / economics*
  • Patient Protection and Affordable Care Act / trends*
  • Politics
  • Probability
  • United States