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There are those in the healthcare policy community who argue, perhaps rightly, that no vote on Obamacare in Congress matters except the vote on full repeal. That may be true, but is highly unlikely. As the Democrats have done to the Republicans for decades concerning legislation they thought was bad for the country or for their agenda, the GOP must expose Obamacare to death by a thousand cuts. The objective is not so much to "fix" it, because it can't be fixed, but surgically removing key parts of the law to accelerate the arrival of the inevitable problems it will cause.

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