Kudos to jmyrlefuller for his voice of reason. I've gotten weary of conservatives with blinders on, conservatives who'd rather keep ObamaCare if they can't achieve their impossible dream of outright repeal, conservatives who petulantly wish disaster on millions if they can't get their way.
This bill is a step forward, and one that deserves conservative support. It embodies the principles of federalism, by unleashing the states to come up with what's best to help those with lower incomes gain health coverage, and by changing O-Care from an unending entitlement to a fixed-cost (from the federal perspective) program of block grants.
The biggest flaw in the bill, IMO, is the elimination of the individual mandate while retaining the requirement that insurance address folks with pre-existing conditions. If it were me, I'd get rid of the jobs-killing employer mandate, but keep and even increase the individual mandate. A functional insurance market requires participation by the healthy as well as the sick. That's the purpose of the individual mandate. Without it, insurers are susceptible to the insurance death spiral, whereby the sick get paid but not enough of the healthy pay in. The easy fix for that is, of course, single payer, where the system is propped up by general taxation. To me, the best way to avoid single payer is to strike a simple bargain with folks - be responsible and help will be on the way if you get sick; be an irresponsible free rider, and you're on your own.