Nearly any health-care repeal bill would have been a hard sell to the US Congress right now, for Trump or any other Republican. While the party leads in both houses, it is divided between Tea Party politicians (the Freedom Caucus) who wanted the bill completely repealed because they want lower taxes and less government, and more traditional Republicans who were worried that their older voter base would be worse off if the bill passed. It would have taken 216 votes to pass, and was estimated at between five and ten votes short.

The act, which was drafted by speaker of the House Paul Ryan, was also almost universally despised for its expected impact, and how hastily Ryan and Trump were trying to move it through Congress. A Quinnipiac University poll published March 23 found 56% of American voters opposed the new bill as against 17% in favor (with 26% undecided), and even Republican voters opposed it by 41% to 24%.

It would have pulled 24 million people off of insurance, raised premiums over time, and cost older, poorer Americans much more than they are paying now, while giving billions in tax breaks to the country’s wealthiest and insurance companies. Some critics described it as a “transfer of wealth” between older, poorer Americans to the country’s richest.

Late on March 23, the Congressional Budget Office released a new score for the bill, after Ryan made last-minute revisions to try to pass it. It will still throw the same number of people off of insurance, the CBO said, but cost the government more than $150 billion more.

Correction: An earlier version of this story inadvertently titled the bill the “Alternative Health Care Act.”

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