Here is a possible summary:
The text is a transcript of a segment from the show Last Week Tonight with John Oliver, where he discusses the Republican plans to repeal and replace Obamacare. He criticizes the flaws and vagueness of their proposals, such as tax credits, health savings accounts, block grants, and high-risk pools. He also points out the hypocrisy of Republicans who attacked Obama for making false promises, while Trump has made even more unrealistic ones. He urges them to come up with a better plan soon, as millions of Americans depend on health care coverage.
Here are some possible facts extracted from the text:
1. The Affordable Care Act, also known as Obamacare, is a health care reform law that was passed in 2010 and has been the target of Republican opposition ever since.
2. The law made it illegal to deny people coverage because of pre-existing conditions, let people stay on their parents' plan until age 26, made preventive screenings free, and created marketplaces where people could shop for insurance with subsidies.
3. The law also included an individual mandate, which required people to have insurance or pay a penalty, and a Medicaid expansion, which provided health care to millions of low-income Americans.
4. The law reduced the number of uninsured Americans by more than 20 million, putting the uninsured rate at a historic low.
5. The law also had some flaws, such as a broken website, a misleading promise that people could keep their doctors and plans, high deductibles and premiums for some plans, and insurers dropping out of some markets.
6. Republicans have been trying to repeal and replace the law for years, but have not presented a clear and comprehensive alternative plan.
7. Some of the ideas that Republicans have proposed include refundable tax credits based on age, health savings accounts, block grants for Medicaid, and high-risk pools for people with pre-existing conditions.
8. These ideas could shift costs from the government to the people, from the healthy to the sick, and result in fewer people being covered.
9. Donald Trump promised to provide universal health care that would cover everyone, be cheaper, and allow people to keep their doctors and plans, but has not delivered on that promise.