Perhaps some need to quit living in fantasy land.
You can only pass legislation for which you have 50 votes in the Senate. The "perfect" conservative bill....or a full repeal with no strings...cannot get 50 votes under any circumstance. Getting 50 votes for a bill akin to what the House passed is going to be incredibly tough as well...but at least it has a chance. That is the parameter of the possible...and it stands in contrast to the parameters of fantasyland within which many of you seem to be residing.
If we do nothing, as some here suggest, the economy likely collapses. Thanks to the collapse of Ocare and the ensuing government shutdown as the GOP refuses to pass anything other than the "perfect", conservative approved bill (despite not having 50 conservative votes to do so) we will endure a fiscal meltdown of epic proportions. The tag of failing to govern and collapsing the economy will stick to the GOP entirely...as they were in power when this event happens....unfair, but that's the way it is in politics. Those who want to play "I don't own it" are plain wrong....maybe you didn't buy it, but its yours regardless, and the media will label this the "conservative" economic collapse of 2018.
If you want single payer and a generation of liberal governance....your approach is going to achieve your goal in sensational fashion. That's not hyperbole, its just the obvious end of a fiasco in which "conservatives" will only vote for a bill that can only get 40 or so votes in the Senate. Its idiocy....at a stupendous level. Worse, its not even principled because it directly creates a huge shift to the Left in this country...sabotaging every issue conservatives care about.
The Moral narcissism of SOME conservatives is going to bring down this Republic...mark my words...and turn it into a liberal theocracy that will be a daily living nightmare. For gosh sakes, at least have the sense to follow in Ted Cruz's footsteps and push this bill through...more improvements can be made over time. A minor victory sure as hell Trumps a crushing and likely permanent defeat, which is precisely where you folks are taking us if this bill fails.