The Affordable Care Act (or Obamacare) had its own flaws but to scarp an already existing program while substituting something new will be expensive and confusing. Are American going to be better off under the new Trump/Republican plan? Maybe in the long run, if all the stars align, but it will be years before that happens. Of course, failure is not an option and any shortcomings can be blamed on the Democrats. Thank goodness all three major political parties in Canada and the Canadian public are in agreement that Canada's healthcare system doesn't need the Trump treatment.