The repeal bill's effective elimination of the individual mandate, coupled with retention of the ACA's insurance regulations, would lead to a full collapse of the individual-insurance market. The Congressional Budget Office (CBO) estimated that the GOP's repeal legislation would increase the number of uninsured Americans by at least 22 million people when the Medicaid expansion and insurance subsidies were terminated, but the agency also said the number of uninsured Americans would probably be even higher than that because the insurance market would quickly become dysfunctional. In other words, it would be difficult for anyone to get insurance outside of the employer setting.
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