The Senate’s effort at writing a replacement bill for theAffordable Care Act is being assailed from all sides. Even someRepublicans are coming out against the Better Care ReconciliationAct, saying it goes too far and or doesn’t go far enough.

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With the BCRA now public, a report published in the journalAnnals of Internal Medicine explores the influence health insurancecan have on mortality.

According to Modern Healthcare, Dr. Steffie Woolhandler,coauthor of the study and a professor of public health at the CityUniversity of New York at Hunter College says, “It’s very importantfor the voters to know taking insurance from millions of peoplewill result in increased death rates.”

The BCRA has been estimated by the Congressional Budget Office to cost 22 millionpeople their health insurance coverage by 2026.

Woolhandler and her coauthor summarized the findings of multiplestudies which compared mortality rates among uninsured and insuredpeople. A number of studies over several decades have examined thedisparity between insured and uninsured mortality rates, with mostconcluding the uninsured have higher mortality rates than theinsured.

Two studies in particular reviewed by the researchers focused onmortality rates in Maine, New York, and Arizona during the early2000s shortly after Medicaid eligibility was expanded.

They found a drop of approximately 6.1 percent in those states’mortality rates, compared with neighboring states, in correlationto a 3.2 percentage-point decline in the uninsured rate. Thebiggest drops in mortality were among minority populations inlow-income counties.

In addition, editors of the New England Journal of Medicinecriticized the proposed legislation, saying while it may be calledthe “Better Care Reconciliation Act,” that’s not what it is atall.

Related: Senate will delay health bill vote

NBC reports the journal has joined groups which represent doctors and other health careprofessionals to criticize the bill. “The U.S. Better CareReconciliation Act…is not designed to lead to better care forAmericans,” it quotes Dr. Jeffrey Drazen, the editor-and-chief ofthe medical journal, writing in the publication.

The editorswrite in the journal, “Like the House bill that was passed inearly May, the American Health Care Act (AHCA) would actually dothe opposite: reduce the number of people with health insurance by22 million, raise insurance costs for millions more, and givestates the option to allow insurers to omit coverage for manycritical health services.”

“What would get ‘better’ under the BCRA is the tax bill faced bywealthy individuals, which would be reduced by hundreds of billionsof dollars over the next decade.”

When it comes to taxes and the BCRA, the New York Times says a Republican senator who is backingthe bill does not think Trump clearly understands the plan.

The article goes on, saying the senator felt Trump “seemedespecially confused” when a moderate Republican pointed outopponents of the bill would characterize it as a “massive tax breakfor the wealthy.”

According to the Times report, Trump ignored the taximplications of the BCRA and commented he would tackle tax reformlater.

Trump responded via Twitter, saying, “Some of the Fake NewsMedia likes to say that I am not totally engaged in healthcare.Wrong, I know the subject well & want victory for U.S.”