It is not unreasonable to shift health care costs from the young to the old and from the rich to the poor: old people get sick more than young people do and poor people get sick more than rich people do. People who consume more health care should not be surprised that they pay more than people who consume less.

It is not necessarily unreasonable that rich people will get tax cuts and lower-middle-class people will lose tax credits either. This simply reverses the changes that Obamacare did. Obamacare imposed taxes on rich people to pay for subsidies for lower-middle-income people.

Of the people who will "lose" health insurance, many will be younger people who simply don't want to pay for it; if they get sick, they will get it then, because pre-existing conditions still will not be disqualifying. This is not a very intelligent way to use health insurance. But using tax policy to force people to make wise choices is an exercise in futility.