That's because the kind of changes that Paul's group are likely to seek - more regulations eliminated, more taxes cut, more flexibility for state administrators - are also likely to drive away more senators who, like Heller, are concerned about the impact the bill would have on their constituents.
In March, when House Republicans published their bill to replace Obamacare-the American Health Care Act-I described it in Forbes this way: "GOP's Obamacare Replacement Will Make Coverage Unaffordable For Millions-Otherwise, It's Great".
Nevada Senator Dean Heller announced he will not vote for the American Health Care Act as it is now written, making him the fifth GOP senator to say they won't vote for the bill since it was released Thursday morning.
GOP leaders say repealing the ACA is necessary because premiums are skyrocketing on the health insurance exchanges and because states should have the flexibility to offer Americans more affordable healthcare options.
Sen. Dean Heller, R-Nev., said Friday he will not vote for the Senate's Obamacare replacement bill as now written. Paul, Lee, Cruz, and Johnson made it abundantly clear in their statement that they are "open to negotiating", suggesting their support can be bought with the right concessions. Republicans hold 52 out of 100 Senate seats, so they can afford only two defections; in that case, Vice President Mike Pence would be brought in to break a 50-50 tie. Elizabeth Warren, D-Mass., didn't mince words when she ripped into the bill on the Senate floor earlier Thursday.
The president said he thinks Republicans in the Senate are doing enough to push through the bill.
Giaimo focuses on health care policy. While McConnell's bill curtails the program at a slower rate than the House version, it ultimately cuts deeper, which has prompted senators whose states expanded Medicaid to raise red flags.
Does anyone now know this time bomb is buried in this bill?
Olivia Wilde's new play has audience members fainting, vomiting and getting arrested
But if this show is the most upsetting part of anyone's day, they're not reading the news headlines. During the show, 31-year-old actor Tom Sturridge , who plays Winston Smith, is electrocuted.
McConnell has a dilemma similar to the one House leaders faced in passing their health care bill last month: If changes are made to accommodate moderates, they'll surely lose the support of conservatives.
Gov. Christie's spokesman has said he will not comment on this pending health care legislation, that the process of finalizing a bill is a long one.
"Sen. Collins will carefully review the text of the Senate health care bill this week and into the weekend". About $33 billion of this would go to tax cuts conservatively averaging $7 million every year to each of the 400 highest-income families in the country.
But the Senate bill preserves another, more popular, piece of Obamacare: the requirement that insurance companies cover everyone, even those with pre-existing medical conditions.
"There isn't anything in this bill that would lower premiums", he said.
Conservatives meanwhile say that Medicaid expansion is drawn down too slowly and that states don't have enough flexibility to implement a state-run Medicaid program.
Like the House bill, the Senate would repeal a penalty associated with the individual mandate requiring most people to have health insurance or else pay a fine. "The Senate bill may be even meaner".
"I think this is a real issue and I think this is something that needs to be addressed", said Susan Giaimo, a Marquette biomedical science professor.
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