This bill or a straight up repeal both have a ton of issues. The system we had before Obamacare was terrible too - maybe you forgot that fed health spending went up 8.5% annually from 1998 to 2009 and was on track to bankrupt the fed gov. This bill is marginally better than ACA and a full repeal isn’t going to happen with the narrow senate and is only marginally better than this bill. Tax reform and regulatory reform can get done though but only once ACA is repealed. Also keep in mind once ACA is repealed, future changes will get dem votes too
There is no repeal in this bill, not one federal agency created by Obamacare is removed.