Senator David Heller cannot support the gutting of Medicaid.  Apparently ACA has done very well by Nevada with regard to coverage.   The Republicans can only afford two more defects (a 50-50 tie would allow Pence to break it).  Right now they have four conservatives threatening to vote against it because it doesn’t repeal enough.

Basically, the repeal bill would go towards tax cuts in the range of $50,000 for those making a million a year.  To finance these tax cuts the Medicaid fund would be capped and the remaining policies would offer minimal services – gutting preventive medicine and probably then leading to more money spent in the ER later.

Here’s to hoping that California passes single payer, but my understanding is that Governor Brown would veto it.