A 24-hour protest is ongoing outside Senator Pat Toomey's Philadelphia office.
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People are voicing opposition to the proposed Senate Republican health care bill.
"People aren't out here because it's super fun to be in the spitting rain, protesting for hours, people are out here because it's literally life or death," Vashti Bandi of South Philadelphia said.
The bill would abolish the mandate that most Americans must have health insurance.
They could buy insurance with tax credits, based on income. But some could pay more for less. It also rolls back the expansion of Medicaid.
It keeps protection for people with pre-existing conditions, but states can opt-out of covering some basic services such as wellness visits.
And it gives sizeable tax cuts to the wealthy.
Barry Furrows is Director of the Health Law Program at Drexel's Kline School of Law.
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He says the winners will be the wealthy, and small companies.
The poor, disabled and middle class will be hit the hardest.
Adults 50 to 65, who don't get health insurance from their employer, will likely face higher premiums.
Overall, he says society could go backwards.
"You're going to have higher levels of sickness, higher costs to be absorbed, more disability and a higher mortality rate," Furrows said.
Still President Trump says it's a work in progress.
When asked does it have enough heart? President Trump said, "Little negotiation, but it's going to be good."
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Activist and transplant recipient Carlene Neal would like to see Democrats and Republicans work together.
"Not to repeal and replace but to fix aspects of the Affordable Care Act that need resolution," she said.
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