Despite Gov. Rick Snyder's opposition to it, most of the nine Republicans in Michigan's congressional delegation plan to support President Donald Trump's repeal of the Affordable Care Act when the House votes this week, reports The Detroit News.
Moderates and others, meanwhile, were grappling with worries of their states' governors and fretted that the loss of benefits would be too much for their constituents to bear, the New York Times reported.
While U.S. healthcare spending as a percentage of GDP ranks higher than for any other OECD country, Americans' life expectancy is near the bottom in a ranking of other OECD countries, behind countries such as France, Germany and Britain.
The bill was withdrawn just minutes before the House vote was to occur, and lawmaker said there were no plans to revisit the issue.
White House spokesman Sean Spicer said that now "people are paying for benefits that neither they, their spouse, their family needs".
Organizers of a rally in Washington symbolically put forward 24 activists for an act of disobedience in front of the White House to protest the Republican efforts to repeal Obamacare.
"It's always hard to commit right up to on the 11th hour of a vote because once you say "Yes, ' you've given up any bargaining leverage that you may otherwise have", Diaz says". "This is the first step and they need to get on board".
The sooner the Ryan/Trump effort is quashed, Paul said, the sooner Congress can pass a full repeal.
Some conservatives don't want to pass anything that looks like a new entitlement program.
"This is essentially an ideal group for an insurance company", he said.
Sen. Mark Warner, a Democrat, stated on Twitter, "It's time for House Republicans to work with us to fix ACA for all Americans". "It's a pretty deep divide".
Given all this, it is probable that whatever replaces the ACA's tapestry of subsidies, regulations and mandates will be a tapestry of subsidies, regulations and mandates that probably will constitute substantial improvements but hardly a revolution in the relation of the citizen, or the health-care sector - one-sixth of the American economy - to the government. So some Republicans see that as a continuance of mandates.
Jason Fichtner, a Medicaid expert at George Mason University in Fairfax, Va., said a block grant would be attractive only for states if they could get more money than under the per-capita option, at least in the short term. And that's what they're asking for forbearance on with their conservative counterparts.
But that's not what Republicans ran their campaigns on, Diaz says.
"They've rendered their judgement: Obamacare has failed". Some conservatives are saying the American Health Care Act as is now doesn't quite do the trick.
"There are clearly going to be states who think this is a good idea for some populations, and states who think this is a bad idea", he says.
"It's really threading the needle", he says.
The task of replacing the Affordable Care Act is no small one.
"The problem with Obamacare is that is has raised premiums significantly and it has caused people to have their work hours slashed and even lose their jobs".
The ACA also established government-run marketplaces where people could buy insurance and those earning less than 400 percent of the federal poverty line could receive tax credits to help pay for premiums. "So he's trying to placate both sides".
The Medicare tax is one of a number of taxes levied under the Affordable Care Act that Republicans would repeal retroactively in the revised version of their bill. AFP's major founder, the conservative Koch Brothers, pledged this week to set up a seven-figure fund to protect any Republican lawmaker in the next election who defied Trump and insisted on a free- market solution.
"I would not be surprised if they canceled this vote", he says.
Meanwhile, Republicans who repeatedly voted to repeal the ACA - before voters gave them congressional majorities and a president who would sign a repeal - now must replace it.
"Hospitals benefited dramatically from Obamacare, simply because all of a sudden they had more people with insurance and less bad debt expense", said Scott Schermerhorn, chief investment officer with Granite Investment Advisors, which does not own hospitals.