If Republicans can round up enough support, the U.S. House plans to vote Thursday to begin repealing the Affordable Care Act and replacing it with an inferior approach. The number of uninsured would rise. Costs for health coverage, particularly for older Americans, would increase. Medicaid spending for low-income residents would be slashed. And two-thirds of the tax cuts would benefit the top 20 percent of taxpayers. President Donald Trump and his team promised a plan to repeal and replace the Affordable Care Act would "have insurance for everybody," nobody "would be worse off financially'' and Medicaid would not be hurt. The House proposal breaks all three of those pledges, yet the president promises political payback if Republicans don't vote for it. House members should vote in the best interest of their constituents, reject this proposal and demand better.