Once again conservative writer Rubin pens the best commentary at the ADN. To paraphrase Condi "mushroom clouds" Rice, "No one could have  predicted that one of the most reliable conservative opinion columnists would come to her senses in 2016". Ms. Rubins take on the difficulty of the GOP repealing without having a viable, verifiable and vetted by the CBO replacement plan for the ACA on the table is right on target.  Even ultra right wing governor Jan Brewer of Az saw the need to accept the expanded Medicaid portion of the ACA and brought the business of the legislature to a halt until it was done because the hospital/healthcare industry was under tremendous financial strain from all the uncompensated care they were administering. The federal dollars were desperately needed by states across the nation because people get sick and injured whether they have health insurance or not. Only the top 1% of Americans pay a very small tax to fund the ACA that allows 22 mill access to healthcare.