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TRUMP: Repealing and replacing Obamacare is 'not a choice — it is a necessity'

Trump laid out his vision for the repeal and replacement of the Affordable Care Act, also known as Obamacare.

President Barack Obama meets with President-elect Donald Trump to discuss transition plans in the White House Oval Office in Washington, U.S., November 10, 2016.

President Donald Trump laid out a vision for the Affordable Care Act (ACA) on Tuesday that appeared to back away from earlier pledges to guarantee insurance coverage for people with pre-existing conditions and leaned on tax credits to ensure Americans can afford their premiums.Trump outlined the changes in a speech to both houses of Congress, laying out five principles for the replacement of the law better known as Obamacare.

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Trump cited increasing premiums and the withdrawal of insurers from the ACA's individual insurance exchanges, as evidence that the health care law is in need of a revamp.

"Obamacare is collapsing — and we must act decisively to protect all Americans," Trump said. "Action is not a choice — it is a necessity. So I am calling on all Democrats and Republicans in the Congress to work with us to save Americans from this imploding Obamacare disaster."

Trump laid out five broad ideas that he wants the Republican Obamacare replacement to address. They are:

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Democrats booed and responded by holding their thumbs down during the speech. They are expected to respond to Trump's ACA pledge with former Kentucky governor Steve Beshear, who embraced the ACA during his time in office to a relatively high level of success.

Interestingly, Trump used the example of the current governor of Kentucky saying "

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