While Obamacare has been neither repealed nor replaced, it is being superseded. As President Donald Trump said, “We will deliver relief to American workers, families, and small businesses, who right now are being crushed by Obamacare, by increasing freedom, choice, and opportunity for the American people.”

The total number of Americans with health insurance rose from 292.3 million in 2016 to 294.6 million in 2017, the Census Bureau reports. Some of the following new reforms have helped 2.3 million more Americans enjoy medical coverage and alternatives under Republican leadership rather than Democrat mismanagement.