Senate Republicans voted to repeal the Affordable Care Act in the middle of the night with no replacement and Donald Trump is celebrating.Millions of Americans across the country woke up on Thursday morning to discover that Republicans voted to take their health care away.Indeed, as Democrats tried to stand against the repeal effort, Republicans shouted them down and used budget reconciliation rules to jam the resolution down America s throat and rejected proposed amendments that would have kept provisions in place to protect contraceptives coverage, insurance for people with pre-existing conditions, and to continue allowing parents to keep their kids covered with their plans through the age of 26.And despite earlier opposing repealing Obamacare without a replacement, Donald Trump praised Republicans on Thursday for stabbing Americans in the back.Congrats to the Senate for taking the first step to #RepealObamacare  now it s onto the House!  Donald J. Trump (@realDonaldTrump) January 12, 2017Trump literally just celebrated a move that will take health care away from millions of Americans, including conservatives in red states who rely on the program. Not only will repeal cause the uninsured rate to skyrocket, it will add hundreds of billions of dollars to the deficit and debt and sentence many Americans to death because they will no longer be able to afford health care.And Twitter users ripped Trump s throat out for his heartlessness.@realDonaldTrump Congratulating the Senate for doing something that will result in tens of thousands of additional deaths each year  Parker Molloy (@ParkerMolloy) January 12, 2017@realDonaldTrump >>> I m not. An estimated 36,000 additional Americans will die each year if the ACA is repealed. https://t.co/JQaMNB5gsN )  Parker Molloy (@ParkerMolloy) January 12, 2017I wouldn t celebrate, @realDonaldTrump. Not until there is guaranteed coverage for those with pre-existing conditions.  David G. McAfee (@DavidGMcAfee) January 12, 2017@realDonaldTrump Buyer s remorse it will be coming . pic.twitter.com/vxJEn3avvq  Erick Fernandez (@ErickFernandez) January 12, 2017@realDonaldTrump https://t.co/VQlTeVIXZi pic.twitter.com/deC3DztTE1  Erick Fernandez (@ErickFernandez) January 12, 2017@realDonaldTrump Your supporters are going to love it when they lose their health insurance.  Mike Elgan (@MikeElgan) January 12, 2017@realDonaldTrump I guess it s kind of hard to see uninsured people dying in the streets from so high up in Trump Tower!  Jules Suzdaltsev (@jules_su) January 12, 2017@realDonaldTrump because taking health-care away from sick people and kids is so honorable  (Rage aria) (@beth_winegarner) January 12, 2017@realDonaldTrump YOU ARE HUMAN GARBAGE. (all caps makes it true, right?)  David Duran (@mrdavidduran) January 12, 2017. @realDonaldTrump By removing an exemption for pre-existing conditions you basically kill people. How is THAT making America great?  MeredithGould (@MeredithGould) January 12, 2017@realDonaldTrump They must be so proud of taking away health care from millions while they keep their taxpayer funded healthcare.  Mark Pygas (@MarkPygas) January 12, 2017@realDonaldTrump Not sure taking insurance away from 20 million people is worth celebrating. Wonder how they ll vote next time? #TrumpCare  HarleyPeyton (@HarleyPeyton) January 12, 2017@realDonaldTrump congratulations, now vets & Americans who voted for you will be without insurance once again.  ? (@VeeVee) January 12, 2017@realDonaldTrump The billionaire in the gold tower felt so proud for taking away free healthcare from the poor who voted for him.  Matt Haig (@matthaig1) January 12, 2017.@realDonaldTrump Only 14% of Americans want to repeal Obamacare without replacing it pic.twitter.com/4OxyHGOka7  Simon Hedlin (@simonhedlin) January 12, 2017.@realDonaldTrump Translation: Congrats on stripping healthcare from 8M children and denying women contraception and maternal care coverage.  Shannon Watts (@shannonrwatts) January 12, 2017. @realDonaldTrump Between this and trying to stop Planned Parenthood this admin is really saying,  Come on, give cancer a chance!  Ian Boothby (@IanBoothby) January 12, 2017Donald Trump and Republicans are MURDERING Americans by repealing the Affordable Care Act and they should be held accountable for it.Featured image via Ethan Miller/Getty Images