The Senate effort at ACA repeal and replace is hitting potholes. Even if a plan is passed it still faces reconciliation with the House version of the ACA repeal and replace bill. There is a pot hole filled path for passage and reconciliation, a true test of the GOP leadership to fulfill a campaign promise in a short time.
It's unclear if Republicans will ever be able to bridge the gap between the conservatives and moderates within their conference. And even if they were able to pass [their health care reform] through the Senate, they'd need to reconcile that version with House Republicans, making an already difficult task even harder.
In the end, Republicans may be forced to negotiate with Democrats, which Senate Minority Leader Chuck Schumer, D-New York, has been calling for for weeks. Some GOP senators in addition to Collins have already warmed to this approach. Sen. Lindsey Graham, R-South Carolina, is also advocating reaching across the aisle.
President Trump, for his part, even admitted last week that striking an agreement on health care reform an almost impossible challenge to overcome.
"I'd say the only thing more difficult than peace between Israel and the Palestinians is health care," Mr. Trump said aboard Air Force One to the White House press corps en route to Paris. "It's like this narrow road that's about a quarter of an inch wide," Trump added. "You get a couple here and you say, great, and then you find out you just lost four over here." CBS