Trump's ACA "repeal and replace" plan would allow persons with a pre-existing medical condition access to health care, but Trump made no mention of cost. Trump addressed cost in two ways, though; tax breaks for persons enrolling in health care, and voluntary health care set-asides. Neither would insure the poor working people who pay no taxes after other deductions, and any voluntary savings for a "rainy day" would be eaten up by two weeks of serious illness. This formula gives very little to middle-income people without employer health care, and absolutely nothing to the nation's 43 million poor, including a lot of children. In other words, Trump's plan would strip those 20 million who got insurance through the ACA, and tens of millions more. As a result of these defections, health insurance would likely double in price in the Trump administration for those left who can afford it. 

Americans, you are being royally screwed. And about 42 million of you don't even know it.  NUTS!