[Skip to Navigation]
April 11, 2017

The Risk of Expanding the Uninsured Population by Repealing the Affordable Care Act

Author Affiliations
  • 1Warren Alpert Medical School, Brown University, Providence, Rhode Island
  • 2Retired, Sacramento, California
JAMA. 2017;317(14):1407-1408. doi:10.1001/jama.2017.2042

Discussions surrounding repeal or repeal and replacement of the Affordable Care Act (ACA) have been a high priority for the Trump administration and the Republican majority of the US Congress, but specific replacement plans are less clear. Levitt1 outlined what the ACA replacement plan might look like based on proposed legislation from House Speaker Paul Ryan (R, Wisconsin) and Secretary of Health and Human Services Tom Price. Levitt observed that repeal of the entire ACA and the replacement plans that have been proposed recently by Republican congressional leaders “would likely result in more people uninsured, less comprehensive benefits, and fewer protections for people with preexisting conditions.”1