Trumpcare is a giant unwieldy gold plated shit wagon badly overloaded rolling down a steep and rocky hill of reality.
The only real questions are when will it collide with one of the many reality obstacles, how badly the rickety gold plated shit wagon will be damaged ( the shit wagon being here a metaphor for Trump and his administration) and how far the shit on the gold plated wagon will fly. The shit metaphor here being the impossible to deliver on Trump promises, in this instance Trumpcare.
Arguably the biggest metaphor obstacle in the road down the reality hill is the CBO report released yesterday. The shit wagon drivers (in this analogy, Trump spokespersons, surrogates, and those in congress supporting Trumpcare like Paul Ryan) trying to circumvent the obstacle of reality. However their attemp to avoid a reality collision consists of denials the CBO assessment is real.
But there are other less obvious rocks in the road that threaten the rickety gold plated shit wagon like the West Virginia Coal Miners who recently received letters telling them they would no longer be receiving their black lung benefits for the widows and children of miners who died from working in the coal mines or those who had retired and were currently suffering from black lung. These are angry people who voted for Trump, who believed his shit pile of lies about coal mining jobs coming back, and his lies about better, cheaper health care pots of gold. These people PAID for these benefits they are now denied by Republicans who control Congress and the White House. These people make a compelling argument to the rest of the minimally educated blue collar white people Trump bigot base who hoped to "get theirs" while taking away from the black and brown Americans they wrongly blame for their problems and for institutional inequity. It remains to be seen if the shiny but unstable shit wagon will steamroll them flat, or if they will sharpen up and obstruct and resist the shit wagon headed their way.
The gold standard for fact checking political claims, factcheck.org, is quite clear that the GOP and their shit shoveling minions are lying (or if you prefer are willfully inaccurate) when they assert that the CBO failed to analyze correctly the costs and benefits of Obamacare. Rather I would argue Obamacare did a good job of performing as predicted, the CBO was correct, and that problems with Obamacare affected relatively few people and could easily be fixed. I would further argue that the GOP has worked tirelessly to sabotage or otherwise inflict damage on the ACA but have not succeeded beyond their deluded base that dwells on that rarefied hilltop trying to avoid facts and reality that they don't like.
But like the overloaded, rickety, gold plated shit wagon, they are also going to have to head down that reality hill and will collide with sharp and painful pointy facts.
The only outcome waiting to emerge is how deep the shit is spread when it flies, who dodges it or deflects it, and who the casualties are from the collisions. Elections have consequences, and the 2018 round of the next election is looming like a mountain range horizon.