None of the Republican plans offered to replace the ACA offer the same protections for people with pre-existing health conditions, they all will take health care away from millions of people, they all will substantially increase the cost of health insurance for people who are older or who have health problems, and they all will increase the deficit. They also will produce a $350 billion tax cut but only going to people making over $200,000 per year. Here in Alaska there actually only are about 20,000 people who buy their insurance through the ACA  and 80-90% of those will see their premiums skyrocket if the ACA is repealed (the annual premiums for my wife and me will increase at least ten-fold, to roughly $40,000, if Senators Murkowski and Sullivan and their Republican colleagues have their way).