It's a matter life or death for millions and millions of Americans.
"It's very clear that what passed the House is not going to pass the Senate", said Julius Hobson, a healthcare lobbyist and attorney with the Washington, D.C., law firm Polsinelli.
While Alexander says the House bill retains the Affordable Care Act's requirement for insurance to those with pre-existing conditions, critics, including those picketing outside the Crescent Center, say the ability to raise premiums for that coverage would put such coverage out of reach for those with such conditions.
"Where is their promise that no one is going to lose their insurance?" asked Connecticut Gov. Dan Malloy, chairman of the Democratic Governors Association.
The freshmen Republican represents Kentucky's first district.
Speaking with dozens of Republican lawmakers huddled behind him in front of the White House, Trump said he felt "so confident" that the bill would pass the Senate as well.
Trump shouted, "How am I doing?"
Equally important, Trump and his party own the problem now.
"Don't know what's in it", Senator Lindsey Graham said before the vote. "Obamacare Replacement Will Kill People, Warren Claims", declared the headline of a Daily Caller article that insisted Senator Elizabeth Warren had offered no evidence in support of her assertion. "There are conflicting reports whether the Democrats were chanting this in anticipation of the Republicans losing in 2018 for passing the repeal or if it were [sic] Republicans chanting in celebration of finally repealing the failure known as Obamacare", Gateway Pundit wrote. In addition, out of the 14 million who now have health insurance because of the ACA, 11.8 million of them were dumped on Medicaid.
The Democrats think the effect of this bill would be the opposite, stripping insurance from the poor, giving tax breaks to the wealthy and casting doubt on health provisions for the chronically sick.
There appears to be a consensus in diagnosing the health bill.
The legislation, called the American Health Care Act, is by no means a sure thing in the Senate, where the Republicans hold a slender 52-48 majority in the 100-seat chamber and where only a few Republican defections could sink it. "This is contrary to the spirit of who we are as a nation, a giant step backward that should be resisted".
No Democrats are expected to support a bill that repeals significant portions of ObamaCare.
Never confuse motion for action, Republicans.
The ultimate impact on those with pre-existing conditions remains unknown.
"We do not have enough for Medicare, we do not have enough for Social Security, we do not have enough for Medicaid - before we got started on the expansion of Medicaid", Paul said Friday during a speech at the Cato Institute. The Land Down Under has universal health care with a private insurance option.
Republicans now must be identified for what they are: charlatans who would lie to Americans with cancer and heart conditions about the health care they can not live without.
Women's healthcare advocates, including Planned Parenthood and NARAL Pro-Choice America, fought the House's proposal from the beginning, and Planned Parenthood President Cecile Richards called it the "worst bill for women's health in a generation" in a statement sent to Refinery29.