With the GOP Senate leadership having devised this bill in secret, and the COB score showing it leaving millions without coverage, it's no wonder it has far less than the necessary votes to pass. With 22 million more Americans eventually left uninsured as a result of this health care bill, and profoundly reducing Medicaid benefits in the years ahead, this legislation looks like it's on life support. 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 suffer most are those needing extended care such as the elderly. This GOP replacement of Obamacare, a core campaign promise of President Trump, appears to be a cure lacking a disease.