Ding, dong, the bill is dead—or is it?

Well, actually, although a postmortem might be a bit premature,the odds aren’t looking good for a repeal-only Republican effort tokill the Affordable Care Act.

The Hill reports that the blood—er, ink—wasn’t even dryon the most recent failed attempt by the Senate to repeal andreplace former President Obama’s signature health care law (lastnight two additional Republican senators announced they would notvote for the bill) when Mitch McConnell, Senate majority leader,proposed a repeal-only bill, essentially the same as one that hadbeen passed two years earlier by Congress at a time when they knewit had no chance of being signed into law under Obama’s watch.

Related: Number of uninsureds continues torise

But it’s not just McConnell calling for it—the Huffington Postreports that Trump tweeted an exhortation toRepublicans to “just REPEAL failing ObamaCare now & work on anew Healthcare Plan that will start from a clean slate. Dems willjoin in!”

Democrats, by the way, say no, they won’t.

In addition, two Republican senators have already declared thatthey won’t support a repeal-only bill.

Shelley Moore Capito, R-WV, and Susan Collins, R-ME, havedenounced a repeal-only effort as “creat[ing] great uncertainty forindividuals who rely on the [Affordable Care Act] and caus[ing]further turmoil in the insurance markets,” Collins says in thereport.

Collins also is advocating for “hearings to examine ways to fixthe many flaws in the ACA so that it will work better for allAmericans.”

Even though this latest effort at repeal would postponecessation of the ACA for two years, Capito says in the report thatshe has concerns about what would happen to her state’s Medicaidexpansion and combating opioid addiction, and is quoted saying,“All of the Senate healthcare discussion drafts have failed toaddress these concerns adequately.”

And while other Republican senators have voiced support for themeasure, Sen. John Thune, R-SD, is quoted saying in the report,“We’ll now have to go through the exercise of sort of re-whippingthis, because we are using live ammunition. You know, when we hadthis 18 months ago in 2015, we had a Democrat president thateverybody knew would veto the bill.”

Repeal of the ACA without replacement could drop 18 million fromthe ranks of the insured the very next year, according to aCongressional Budget Office evaluation.

But it wouldn’t stop there: Elimination of Medicaid expansionand insurance subsidies would then kick another 27 million peopleoff insurance, and then 32 million by 2026.