I don't think you are approaching this from all politics are local.
The new Republican talking point about this is that this is "phase 1" of the proposal. They can't share with us what the other phases will be except to assure us that it will be great and will adequately replace the coverage provided by the ACA.
This has worked time and again on all swathes of the electorate, but it works the most on people looking for someone to trust, someone they can abdicate responsibility to.
If you want to believe you can have your cake and eat it too, you're going to vote for someone that assures you the cake will be delicious once it is finished baking. Just look at Albertan voters for an example of buying a rotten bill of goods because it is packaged in delicious pablum.
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