Advocates of health care reform who are fearful — or hopeful, as the case may be — that Republicans will be able to repeal the Patient Protection and Affordable Care Act (aka "Obamacare") need to understand that the GOP has no real intention of repealing it.

The rhetoric of repeal is just a smoke screen to obscure the real objective of the “repeal and replace” caucus: to preserve the sections of the law that big insurance and its business allies like and strip out the regulations and consumer protections they don’t like.

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