Replacing something with something else of inferior quality is an absurd proposition for just about anyone other than President Trump and the GOP. A health care bill in which participation is not universal, important funding to support it is relinquished by excluding tax revenue and where states can change the terms of insurance with little substantiation will leave many without coverage. Those who would most suffer are those needing extended care such as the elderly. Although the Republican-controlled Senate's bill may be a little less onerous than the House version, the end result overall means greatly reduced benefits for the most vulnerable among us. This new version of the American Health Care Act, a fundamental campaign promise of President Trump, still appears to be a cure lacking a disease.