So it is that even as Republicans are unable to come up with an Obamacare replacement, they are determined to repeal the law that not only makes healthcare insurance affordable for all, but protects Americans from being ripped off by insurance companies and protects those with preexisting conditions.
Trump will speak Tuesday to both houses of Congress, laying out his vision for the coming year.
"We told them we were going to repeal it and replace it with a market-centered, patient-centered plan that actually brings back affordable health insurance", he said. Predictably, Republicans are most likely to say they disapprove (89%) while Democrats are most likely to express approval (85%). "We're going to have insurance for everybody", Trump told the Washington Post just last month.
Cecilia Norris, the medical director at Iowa City's Free Medical Clinic, said she's seen the impact that the ACA has had since its passage.
The GOP governors' Medicaid proposal, a draft of which was obtained by The AP, urges Congress to change Medicaid from an open-ended federal entitlement to a program designed by each state within a financial limit.
The party is still divided over key issues - including how far to take the repeal bill.
The GOP plan would end an expansion of Medicaid to people just over the poverty line that has been adopted by 31 states - many with Republican governors - and has led to coverage of 11 million additional low-income people.
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Yet top Senate Republicans privately say that such an approach would not pass their chamber.
The legislation would take down the foundation of Obamacare, including the unpopular individual mandate, subsidies based on people's income, and all of the law's taxes.
For instance, Republicans have always been set on repealing the individual mandate, a part of the law that issues a tax penalty to healthy people for not enrolling in health insurance.
But several people involved in the discussions say the biggest challenge right now is how to resolve the Medicaid dilemma.
"Clearly the details will continue to evolve and we'll be watching as they do", he said in an emailed statement to Reuters. That said, it does appear that there are many people still in favor of the Obamacare system, despite some of the pitfalls it has on other Americans.
The latest from Republicans on an alternative to the ACA indicates a strong focus on insurance plans with a health savings account - which has become increasingly more common among US employers.
"I expect the Trump presidency is going to look a lot like the Trump campaign - sometimes divisive, sometimes incoherent, sometimes disrespectful - but also sometimes effective", Boehner said.
Some of the GOP governors behind the reform proposal, including Ohio Gov. John Kasich, opted to expand Medicaid in their states despite pressure from conservatives.