Trump’s signature legislation to help Americans buy health insurance is being called a “disaster.”

The Republican-controlled House of Representatives passed its version of the American Health Care Act Monday night, with Vice President Mike Pence and President Donald Trump’s top health care aide Stephen Miller making the final tweaks.

The legislation will make some changes, including some that would benefit lower-income Americans, but the main focus is on expanding insurance options and cutting costs.

Democrats say the bill will only lead to more people dying, and that Republicans should not be able to use the bill as a cover for their policies that will hurt working-class people.

Trump and Pence say they are not looking to dismantle Medicaid, but instead to expand coverage to people with pre-existing conditions, and to give people with health conditions more choices.

Democrats counter that expanding Medicaid will make coverage less affordable for poor and middle-class Americans, who could see their premiums rise as the government expands coverage.

In addition to making some changes to Medicaid, the legislation will also extend subsidies to help people buy health coverage, a major change for many Republicans.

It will also help people who cannot afford insurance with a tax credit of up to $2,000 per person.

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