I cannot fathom what the Republicans in both houses are hoping for with this bad and cruel bill on health care. How will people flock to their party when their neighbors go untreated and die, when their own elderly family members cannot remain in a rest home, and how care givers and medical providers have to explain why nothing can be done. In reality the costs of both assistance in premium payments and the continuation of an expanded Medicaid coverage are both cheap and widely effective. Why such cruel peony and who really benefits?