Nancy Pelosi was never a Senator, she was the Speaker of the House and is now the minority leader. Yes she did say the words you cited, but your clip takes them out of context. I am amazed by the fact that when Trump or other GOP officeholders are inarticulate, their supporters don't hold them to the same standard they hold Democrats to.

The ACA was subject to an OPEN process over a year with public hearings, witnesses on the record and a full CBO review and score. 

The GOP proposals made this year were crafted in secret and were not subject to the committee and hearing process. These propsals had NO input from the minority which is the opposite of the ACA which incorporated dozens of GOP amendments in the final Bill.

It is NOT the same process as the ACA and it is a dishonest process. That is why Graham and Cassidy cannot or will not (your choice) answer smple questions about their bill. Because the people will see that the Bill does not live up to Trump's campaign promises.