"What sensible people have got to do is not simply repeal the Affordable Care Act without any alternative, but you've got to sit down and say it's OK, what are the problems. How do we address it? How do we move to universal health care? How do we lower prescription drug costs? How do we make sure that people don't have outrageous deductibles? You just don't throw 20 million people off of health insurance. You don't privatize Medicare."