TY - JOUR T1 - Contextualizing the first-round failure of the AHCA: down but not out JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg SP - 595 LP - 600 DO - 10.1136/neurintsurg-2017-013136 VL - 9 IS - 6 AU - Joshua A Hirsch AU - Andrew B Rosenkrantz AU - Greg N Nicola AU - H Benjamin Harvey AU - Richard Duszak, Jr AU - Ezequiel Silva III AU - Robert M Barr AU - Richard P Klucznik AU - Allan L Brook AU - Laxmaiah Manchikanti Y1 - 2017/06/01 UR - http://jnis.bmj.com/content/9/6/595.abstract N2 - On 8 November 2016 the American electorate voted Donald Trump into the Presidency and a majority of Republicans into both houses of Congress. Since many Republicans ran for elected office on the promise to ‘repeal and replace’ Obamacare, this election result came with an expectation that campaign rhetoric would result in legislative action on healthcare. The American Health Care Act (AHCA) represented the Republican effort to repeal and replace the Affordable Care Act (ACA). Key elements of the AHCA included modifications of Medicaid expansion, repeal of the individual mandate, replacement of ACA subsidies with tax credits, and a broadening of the opportunity to use healthcare savings accounts. Details of the bill and the political issues which ultimately impeded its passage are discussed here. ER -