The Skinny repeal that was voted on would have jeopardized two of the most important features of the Affordable Care Act. The irony of KellyAnne Conway blathering on about " just get a job that offers insurance" while the repeal bill would have purged the requirement that businesses provide insurance would be laughable if not so sad. And, the ACA requirement that individuals carry insurance makes everyone responsible for themselves. In the 1980's Ronald Reagan signed the Emergency Treatment and Labor Act which requires hospital emergency rooms treat all that walk through their doors regardless of ability to pay, nationality legal/illegal alien status. Mitt Romney callously referred to this bill when he implied people don't need insurance...they can go to the emergency room. Hospitals are offered tax breaks for their charity...recently hospital charity levels have dropped off due to the ACA. We tax payers should renegotiate the tax breaks they receive to better even the playing field.