In my state, Medicaid-funded ACA services help more than 32,000 people with developmental disabilities and 65,000 low-income seniors and vulnerable adults. The Republican proposal would take away services from more than 25 percent of these men and women, eliminating the support services that help them find employment, secure safe housing or assisted living care, and other day-to-day support.

And the damage to our insurance market is already underway. The uncertainty caused by GOP efforts to repeal the ACA and President Trump’s intentions to unilaterally roll back certain provisions are destabilizing health insurance across the country, even in the most the successful health systems.

This week it was announced that premiums in Washington state will increase by an average 22 percent next year — an increase that our state’s insurers attribute primarily and directly to the chaos this Republican agenda has caused.

In complete darkness with no hearings, limited CBO scoring, and no involvement from anyone outside the all-male gang of 13, Republicans have made clear they want to fast-track legislation that will have far-reaching impacts on our nation’s economy and life-threatening consequences for millions of families whose health care will be taken away.

And the worst part? All of these efforts aren’t aimed at reforming health care. Rather, they are the GOP’s plan to finance the president’s proposed tax breaks for the wealthiest Americans.