The gory details of the Congressional Budget Office’s report onthe House legislation to “repeal and replace” Obamacare are, inmany ways, superfluous. The bill’s flaws, substantive andotherwise, have long been evident. Less clearly understood, thoughequally disturbing, is the larger political context.

That’s not to say the particulars of the CBO report, releasedWednesday, are irrelevant: far from it. The report says theRepublican effort would increase the number of uninsured by 14million in 2018, rising to 23 million in a decade.

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