This is what the Trump Reality Show hides: The House’s Health Care plan does much more than roll back the Affordable Care Act (or Obamacare as they like to say.) It ends Medicaid, the single most effective form of “government” insurance that secures health care options for 62.3 million Americans. To add perspective: Medicare — supposedly untouchable in politics — insures 43.3 million seniors. Medicaid is adding money to the Indian health system.