Another point Frum brought up was that as "obamacare" stayed, Healthcare would begin to be seen as a right, not a consumable. If the GOP continued to beat the repeal drum without "replace" they'd get steamrolled.
So Ryan replaces it with almost the equivalent of merely repealing it and can't understand why it was hated by the moderates. The Freedom Caucus wanted a free market repeal and not replace. Basically, they painted themselves into the corner Frum said they would on this issue
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