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Monday, November 9, 2026Nov 9

Analysis: GOP vexed by factions on replacing health law

FILE - In this Dec. 1, 2016 file photo, House Ways and Means Committee Chairman Rep. Kevin Brady, R-Texas. speaks on Capitol Hill in Washington. Republicans are united on repealing President Barack Obama’s health care law, but ideologically and practically speaking, they’re in different camps over replacing it. Getting the factions together won’t be easy.  (AP Photo/Susan Walsh, File)
FILE - In this Dec. 1, 2016 file photo, House Ways and Means Committee Chairman Rep. Kevin Brady, R-Texas. speaks on Capitol Hill in Washington. Republicans are united on repealing President Barack Obama’s health care law, but ideologically and practically speaking, they’re in different camps over replacing it. Getting the factions together won’t be easy. (AP Photo/Susan Walsh, File) FILE - In this Dec. 1, 2016 file photo, House Ways and Means Committee Chairman Rep. Kevin Brady, R-Texas. speaks on Capitol Hill in Washington. Republicans are united on repealing President Barack Obama’s health care law, but ideologically and practically speaking, they’re in different camps over replacing it. Getting the factions together won’t be easy. (AP Photo/Susan Walsh, File)

WASHINGTON (AP) – Republicans are united on repealing President Barack Obama’s health care law, but ideologically and practically speaking, they’re in different camps over replacing it. Getting the factions together won’t be easy.

Some Republicans would revise and rebrand “Obamacare,” junking unpopular provisions like its requirement that most Americans carry health insurance, while preserving more popular provisions. Others would rip up the Affordable Care Act, or ACA, and not replace it.

President-elect Donald Trump and Republican congressional leaders will have to unite the groups on complicated changes affecting the financial and physical well-being of millions of people. For some constituents in fragile health, it’s literally a life-and-death debate.

Republicans have “a really narrow path,” says Grace-Marie Turner of the Galen Institute, a free-market health care research organization. “They’ve got to deal with the politics of this, they’ve got to make sure they come up with good policy, and they also have process challenges.”

Success is not guaranteed, and Republicans may come to regret that their party defined itself as totally opposed to “Obamacare.”