Gotta admire the sheer audacity of parts of the Republican "healthcare" plan. Leave the worst parts up to the states to work out for themselves (how will the states come up with the funds needed to cover the working poor, the unemployed, the disabled as the Federal gov't gradually takes away its part of the Medicaid/Mediare funding?). Or the part where the state can impose a work requirement for those who apply for Medicaid (I can just see the signs being held out by the unemployed now: "Laid off due to cancer. Will work for chemotherapy."). Another part leaves the states to negotiate with the insurance companies (what do the insurance companies actually have to cover? That's negotiable, from preexisting conditions to maternity care. The insurance companies will drive a hard bargain with the states. "You want our insurance company to offer coverage in your state? Well, we don't want to cover emergency room visits, cancer care, annual check-ups, preexisting conditions......").
And in the end, all the voters will blame their state houses for the lack of affordable care and forget that the Republicans at the national level brought it all about. You'd think the various states would be running ads all over the place right about now and governors would be making speeches. Oh, wait, most of our states are now run by Republicans. Hmm. Maybe they're on board with all this, and when the shit hits the fan, they'll just say, "At least we aren't forcing you to buy a product you may not need and can't afford anyway, suckers."