The addition to the Senate Republican tax plan alarmed Democratic lawmakers, healthcare advocates, and others.

Shortly after news broke about the update to the Senate bill, a collective of major industry groups representing insurers, hospitals, and doctors released a letter (pdf) to congressional leaders of both parties, urging them to maintain the individual mandate, and warning of the “serious consequences if Congress simply repeals the mandate”—most notably, that millions of Americans “will be uninsured or face higher premiums, challenging their ability to access the care they need.”

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