In the last few years, you might have noticed things going on. New facilities have been built. Existing facilities have been expanded.
They are doing that because they have more money coming in. The "why do they have more money" is fairly plain: Obamacare. More people have insurance, hospitals are treating fewer people without insurance. People without insurance often don't pay or cannot pay. Or if they were solvent, a medical crisis would drive them into bankruptcy (the hospital doesn't get paid). Everyone else who could pay, whether by insurance or because they're rich, subsidized all that.
The GOP's "reform" plan is to (a) kick 22 million people off insurance and (b) give a tax cut to the rich. That's wicked perverse-- Take away from those who don't have money in order to give more money to greedy bastards who don't need more money.
Everything TrumpCare's supporters say is to obscure one salient fact: They want to deny insurance to over 20 million people in order to give more money to the rich. You know, people like Donald Trump, Martin Shkreli and Betsy DuVois-- people who are more than happy to take a few more millions and if lots of people end up dying, not their problem. Because they are heartless.
That's what TrumpCare is all about, Gentle Reader: Greed. Avarice. Fiscal gluttony. Ryan and McConell and the rest of that pack can blather all they want about the benefits of TrumpCare, but the only winners in TrumpCare are those who already have gobs of money. And, of course, the politicians that they are paying so they can have more.