What's really involved in repealing and replacing the "A"CA

I'm well aware of the growing frustration on the Right concerning the fact that there's no real action yet in Congress regarding repeal-and-replace. While I understand the challenges - only Medicaid expansion, subsidies and the law's taxation component and be dealt with via reconciliation, while the matter of who gets what kind of coverage will require 60 votes in the Senate - they are not insurmountable and the majority of the public that loathes the "A"CA knows that.

Are vulnerable centrist Democrat Senators from red states being targeted with appropriately strong persuasion? Is requisite leverage being brought to bear on Lisa Murkowski, the Alaska "Republican" who says she'll give a thumbs down to any plan that does not keep Medicaid expansion and funding for Planned Parenthood?

More basically, do Republicans on Capitol Hill understand that this is probably the best issue on which to assert itself as a co-equal branch of government? The Trump administration is well aware of how much it can do via executive order and is poised to seize the initiative if Congress doesn't act soon.

In short, where's the sense of being fired up?

This is probably the peak moment of goodwill and unity on the Right. It's not a very big window of opportunity, and the mood can quickly devolve into cynicism and bitterness. This has been item number one on the conservative wish list since 2009, and excuses at a time of majorities in both houses and a Republican administration will rightly be seen as illegitimate and cowardly.


UPDATE: This is encouraging:

A leaked draft of a House bill to repeal and replace Obamacare fills in important new details of how Republicans would remake the healthcare law.

The discussion draft envisions phasing out big parts of the Affordable Care Act by 2020, including rolling back its Medicaid expansion and switching its insurance subsidies from income-based to age-based.

It also seeks to ease regulations on insurers, eliminating the federal list of essential health benefits they must cover and directing states to write the rules instead. It allows insurers to charge older people up to five times what they charge younger people, instead of just three times. And while it gets rid of the law's mandates to buy coverage, it says insurers may charge consumers 30 percent more in premiums if they don't maintain continuous coverage.

Republicans already had outlined many of the draft's main provisions, including its expansion of tax-free health savings accounts, restrictions on subsidies for plans covering abortion services and repeal of the healthcare law's taxes.

Now, get out there and sell it.