The replacement plan for the existing Affordable Care Act, called the American Health Care Act, has been rolled out by Paul Ryan, the Republican speaker of the House of Representatives. It is abundantly clear that it is an assault on the poor that the main winners are the rich, particularly the very, very rich. This plan has enabled Ryan to finally unleash his inner Ayn Rand, of whom he is an ardent devotee and his love for whom he has tried to conceal up to now.
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