Get ready, America — health care premiums are going up, if Republicans in the Senate pass the American Health Care Act — and maybe even if they don’t. And it’s not going to be pretty.

The AHCA, passed by the House, has pretty much been panned by everyone but Republicans — and even some of them — for its cuts to essential services, coverage, Medicaid and funding. But it was passed without a Congressional Budget Office review — and now that’s come home to roost, in some spectacularly negative ways — including the loss of coverage by an additional 23 million people over 10 years.

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