Wondering what’s next after the Republican effort to repeal the Affordable Care Act (ACA) was dramatically stopped in its tracks last week ? This week has brought a new round of legislative threats and another promise from a petulant president to actively sabotage the law at the expense of millions of Americans who rely on it for their care. Radical bill from "moderate" senators This week, Senators Lindsey Graham (R-SC), Bill Cassidy (R-LA), and Dean Heller (R-NV) announced that they are working on yet another extreme GOP-only bill with the House Freedom Caucus to gut the ACA. The bill would repeal the ACA’s Medicaid expansion and its financial assistance to help low- and moderate-income households purchase private insurance. In their place, the bill would give states a block grant worth less than what the federal government would contribute under current law. Furthermore, the states that expanded Medicaid would be cut deeply while the 19 states that have refused to e