# The Repeal of Obamacare/ACA: Step-bystep, Inch-by-inch

**URL:** <https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146>\
**Category:** The BBQ Pit\
**Created:** [January 2, 2017, 5:06pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146 "2017-01-02T17:06:13Z")\
**Posts on this page:** 20\
**Page:** 36

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**Author:** ![running\_coach](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/running_coach/32/15836_2.png) [@running\_coach](https://boards.straightdope.com/u/running_coach)\
**Post date:** [May 5, 2017, 8:37pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/701 "2017-05-05T20:37:59Z")

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> [@doorhinge](#):
>
> Hahahaha, that’s exactly why the Democrats are responsible for ACA/Obamacare. Perhaps you could explain the process to **Jophiel**. Or not.
> 
> I have no idea if Congress will be able to pass this latest bill. There are still lots of things that can go wrong (or go right depending on an individuals point of view).
> 
> **It still appears as if the yellow dog Democrats desperately need to “share” the credit for ACA/Obamacare, or at least share the blame. 2018 isn’t that far away.**

Got a cite for that, lying sack of shit?

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**Author:** ![Jophiel](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/jophiel/32/66_2.png) [@Jophiel](https://boards.straightdope.com/u/Jophiel)\
**Post date:** [May 5, 2017, 9:57pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/702 "2017-05-05T21:57:07Z")

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> [@doorhinge](#):
>
> Hahahaha, that’s exactly why the Democrats are responsible for ACA/Obamacare. Perhaps you could explain the process to **Jophiel**. Or not.

Um, why do you think the Democrats took such heavy election losses in 2010?

Because the people saw them as being responsible for the ACA and, by extension, every bill or doctor’s issue or whatever. Now it’s the GOP’s turn. Have fun!

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**Author:** ![Ann\_Hedonia](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/ann_hedonia/32/319_2.png) [@Ann\_Hedonia](https://boards.straightdope.com/u/Ann_Hedonia)\
**Post date:** [May 5, 2017, 10:26pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/703 "2017-05-05T22:26:24Z")

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> [@iiandyiiii](#):
>
> The CBO was much, much closer in their predictions than the Republicans. Republican predictions were off by much, much more than the CBO.

But ACA policies weren’t only sold via the exchanges. If a person wasn’t eligible for a subsidy you could buy the policy via a broker or you could deal directly with the insurer.  
I initially went to the NY exchange but it was clunky and slow. And there were way too many options in my price range. So I called a broker who made some recommendations and priced both ACA and “regular” policies. The ACA policies were the best value and I selected one with a 0 deductible ( yes, you can buy that, at least in NY, if you self-pay).

And the individual insurers ran extensive advertising during the open enrollment period aimed at getting people to deal with them directly.

So I’m thinking part of the reason for the discrepancy is that people purchased policies without using the exchanges.

> [@elucidator](#):
>
> Meme making the rounds…
> 
> “Now the mentally ill still can’t get treatment, but they can buy guns.”

And sign Executive Orders

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**Author:** ![mhendo](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/mhendo/32/3159_2.png) [@mhendo](https://boards.straightdope.com/u/mhendo)\
**Post date:** [May 5, 2017, 10:34pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/704 "2017-05-05T22:34:15Z")

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> [@doorhinge](#):
>
> Hahahaha, that’s exactly why the Democrats are responsible for ACA/Obamacare. Perhaps you could explain the process to **Jophiel**. Or not.

You are as dumb as a fucking bag of hammers.

Do you understand the concept of change over time? Do you understand that one person or group can be responsible for something at one point in time, but that responsibility can shift at another point in time?

I am happy to concede that Democrats are—by and large, and with some important caveats—responsible for Obamacare as it currently exists. But the Republicans won both houses of Congress and the White House by blaming Democrats for it, and by promising to repeal and/or replace it. If they get their bill through both houses, and signed by the Yam in Chief, it’s their baby.

Dishonest excrement like you will, no doubt, continue to blame Democrats for everything you don’t like, and credit Republicans for everything that you do like, and in the current climate it could even be that you’ll convince millions of equally brain-dead morons that you’re right. But your delusions and fantasies won’t change the reality of the situation.

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**Author:** ![Little\_Pig](https://avatars.discourse-cdn.com/v4/letter/l/c57346/32.png) [@Little\_Pig](https://boards.straightdope.com/u/Little_Pig)\
**Post date:** [May 5, 2017, 11:38pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/705 "2017-05-05T23:38:55Z")

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Wisconsin Gov. Scott **“Cocksucker”** Walker said Friday that he would consider seeking a waiver [to let insurers raise premiums for people with pre-existing medical conditions](http://www.chicagotribune.com/news/nationworld/midwest/ct-wisconsin-pre-existing-conditions-waiver-20170505-story.html) if the House Republicans’ health care plan becomes law.

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**Author:** ![mhendo](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/mhendo/32/3159_2.png) [@mhendo](https://boards.straightdope.com/u/mhendo)\
**Post date:** [May 6, 2017, 4:25pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/706 "2017-05-06T16:25:33Z")

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Rep. Mo Brooks (R-AL) [says](http://www.al.com/news/index.ssf/2017/05/rep_mo_brooks_people_who_live.html) that people without pre-existing medical conditions are people who “have lead good lives” and “done things the right way.”

> [@](#):
>
> “My understanding is that (the new proposal) will allow insurance companies to require people who have higher health care costs to contribute more to the insurance pool,” Brooks said. “That helps offset all these costs, thereby reducing the cost to those people who lead good lives, they’re healthy, they’ve done the things to keep their bodies healthy. And right now, those are the people–who’ve done things the right way–that are seeing their costs skyrocketing.”

I guess i’ll let my wife know that the breast cancer and ovarian cyst for which she had operations a few years ago could have been avoided by being a better person.

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**Author:** ![SteveG1](https://avatars.discourse-cdn.com/v4/letter/s/bb73d2/32.png) [@SteveG1](https://boards.straightdope.com/u/SteveG1)\
**Post date:** [May 6, 2017, 4:30pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/707 "2017-05-06T16:30:23Z")

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> [@mhendo](#):
>
> You are as dumb as a fucking bag of hammers.
> 
> Do you understand the concept of change over time? Do you understand that one person or group can be responsible for something at one point in time, but that responsibility can shift at another point in time?
> 
> I am happy to concede that Democrats are—by and large, and with some important caveats—responsible for Obamacare as it currently exists. But the Republicans won both houses of Congress and the White House by blaming Democrats for it, and by promising to repeal and/or replace it. If they get their bill through both houses, and signed by the Yam in Chief, it’s their baby.
> 
> Dishonest excrement like you will, no doubt, continue to blame Democrats for everything you don’t like, and credit Republicans for everything that you do like, and in the current climate it could even be that you’ll convince millions of equally brain-dead morons that you’re right. But your delusions and fantasies won’t change the reality of the situation.

Just put the son of a bitch on IGNORE, like I did. He’s just a fucking troll anyway.

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**Author:** ![Dewey\_Finn](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/dewey_finn/32/4222_2.png) [@Dewey\_Finn](https://boards.straightdope.com/u/Dewey_Finn)\
**Post date:** [May 6, 2017, 4:58pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/708 "2017-05-06T16:58:05Z")

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> [@mhendo](#):
>
> Rep. Mo Brooks (R-AL) [says](http://www.al.com/news/index.ssf/2017/05/rep_mo_brooks_people_who_live.html) that people without pre-existing medical conditions are people who “have lead good lives” and “done things the right way.”
> 
> > [@](#):
> >
> > “My understanding is that (the new proposal) will allow insurance companies to require people who have higher health care costs to contribute more to the insurance pool,” Brooks said. “That helps offset all these costs, thereby reducing the cost to those people who lead good lives, they’re healthy, they’ve done the things to keep their bodies healthy. And right now, those are the people–who’ve done things the right way–that are seeing their costs skyrocketing.”
> 
> I guess i’ll let my wife know that the breast cancer and ovarian cyst for which she had operations a few years ago could have been avoided by being a better person.

Certainly from the perspective of requiring higher health care costs, some people are “better” than others. And I think we can show statistically that some people can be expected to have higher costs.

For example, rock climbers or hang gliders seem to be at greater risk for accidental injury. And pregnancy and childbirth can be expensive (_very_ expensive if the newborn needs to be in the NICU), so charge more to women of childbearing years who are not on long-term birth control. And if hunters and other gun owners are at higher risk of accidental injury, they should also be charged more.

Let’s use an evidence-based approach to assign people to risk pools based on genetics, lifestyle and habits. Will this piss off people, especially the Republican base? Perhaps.

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**Author:** ![running\_coach](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/running_coach/32/15836_2.png) [@running\_coach](https://boards.straightdope.com/u/running_coach)\
**Post date:** [May 6, 2017, 5:01pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/709 "2017-05-06T17:01:00Z")

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> [@mhendo](#):
>
> Rep. Mo Brooks (R-AL) [says](http://www.al.com/news/index.ssf/2017/05/rep_mo_brooks_people_who_live.html) that people without pre-existing medical conditions are people who “have lead good lives” and “done things the right way.”
> 
> I guess i’ll let my wife know that the breast cancer and ovarian cyst for which she had operations a few years ago could have been avoided by being a better person.

My younger brother must have been a hell-raiser in the womb. Born with cerebral palsy and mentally challenged.

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**Author:** ![Kamino\_Neko](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/kamino_neko/32/34_2.png) [@Kamino\_Neko](https://boards.straightdope.com/u/Kamino_Neko)\
**Post date:** [May 6, 2017, 5:30pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/710 "2017-05-06T17:30:15Z")

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> [@jsgoddess](#):
>
> Can they be masters of doublethink if they haven’t mastered think? 😃

Hey, Doublethink just requires holding two mutually exclusive thoughts at once…they don’t need to be well (or even fully) formed!

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**Author:** ![raventhief](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/raventhief/32/4_2.png) [@raventhief](https://boards.straightdope.com/u/raventhief)\
**Post date:** [May 6, 2017, 6:17pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/711 "2017-05-06T18:17:26Z")

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“Nobody dies because they dont have access to healthcare.”

> **[GOP rep: ‘Nobody dies because they don’t have access to healthcare’](https://thehill.com/policy/healthcare/332188-gop-rep-nobody-dies-because-they-dont-have-access-to-healthcare/)**
>
> Rep. Raul Labrador (R-Idaho) drew intense jeers at a town hall Friday when he defended the GOP’s ObamaCare repeal plan by claiming nobody dies due to lack of access to health care.One day after the…

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**Author:** ![OttoDaFe](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/ottodafe/32/356_2.png) [@OttoDaFe](https://boards.straightdope.com/u/OttoDaFe)\
**Post date:** [May 6, 2017, 7:21pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/712 "2017-05-06T19:21:46Z")

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> [@Kamino\_Neko](#):
>
> > [@jsgoddess](#):
> >
> > Can they be masters of doublethink if they haven’t mastered think? 😃
> 
> Hey, Doublethink just requires holding two mutually exclusive thoughts at once…they don’t need to be well (or even fully) formed!

It’s even more basic than that:

> [@](#):
>
> The first and simplest stage in the discipline, which can be taught even to young children, is called, in Newspeak, _crimestop_. Crimestop means the faculty of stopping short, as though by instinct, at the threshold of any dangerous thought. It includes the power of not grasping analogies, of failing to perceive logical errors, of misunderstanding the simplest arguments if they are inimical to Ingsoc, and of being bored or repelled by any train of thought which is capable of leading in a heretical direction. Crimestop, in short, means protective stupidity.

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**Author:** ![Little\_Pig](https://avatars.discourse-cdn.com/v4/letter/l/c57346/32.png) [@Little\_Pig](https://boards.straightdope.com/u/Little_Pig)\
**Post date:** [May 6, 2017, 9:02pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/713 "2017-05-06T21:02:50Z")

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In case you were wondering, here’s a list of the 20 Republicans who voted [**against**](http://abcnews.go.com/Politics/20-republicans-voted-health-care-bill/story?id=47209101) the health care bill.

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**Author:** ![Little\_Pig](https://avatars.discourse-cdn.com/v4/letter/l/c57346/32.png) [@Little\_Pig](https://boards.straightdope.com/u/Little_Pig)\
**Post date:** [May 6, 2017, 9:09pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/714 "2017-05-06T21:09:32Z")

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And the shit starts hitting the fan [in TV ads](http://www.cnn.com/2017/05/05/politics/healthcare-republicans-ahca/).

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**Author:** ![Little\_Pig](https://avatars.discourse-cdn.com/v4/letter/l/c57346/32.png) [@Little\_Pig](https://boards.straightdope.com/u/Little_Pig)\
**Post date:** [May 7, 2017, 1:25am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/715 "2017-05-07T01:25:41Z")

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[Mail your body](https://www.washingtonpost.com/news/to-your-health/wp/2017/05/06/mail-my-body-to-paul-ryan-an-extremely-morbid-way-to-protest-the-gop-health-care-bill/?utm_term=.3751ef0018ee) to Paul Ryan. No, [really](http://mailmetothegop.com/).

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**Author:** ![ElvisL1ves](https://avatars.discourse-cdn.com/v4/letter/e/5daacb/32.png) [@ElvisL1ves](https://boards.straightdope.com/u/ElvisL1ves)\
**Post date:** [May 7, 2017, 1:38am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/716 "2017-05-07T01:38:03Z")

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Paul Ryan apparently didn’t read [this guy’s T-shirt](http://resistancereport.com/resistance/paul-ryan-man-t-shirt/) before posing for a selfie with him.

> [@](#):
>
> “Repeal and go fuck yourself.” -GOP

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**Author:** ![Ukulele\_Ike](https://avatars.discourse-cdn.com/v4/letter/u/df788c/32.png) [@Ukulele\_Ike](https://boards.straightdope.com/u/Ukulele_Ike)\
**Post date:** [May 7, 2017, 1:44am UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/717 "2017-05-07T01:44:51Z")

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> [@Little\_Pig](#):
>
> [Mail your body](https://www.washingtonpost.com/news/to-your-health/wp/2017/05/06/mail-my-body-to-paul-ryan-an-extremely-morbid-way-to-protest-the-gop-health-care-bill/?utm_term=.3751ef0018ee) to Paul Ryan.

No, thank you. I can see him doing something abhorrent to it.

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**Author:** ![ThelmaLou](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/thelmalou/32/390_2.png) [@ThelmaLou](https://boards.straightdope.com/u/ThelmaLou)\
**Post date:** [May 7, 2017, 5:31pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/718 "2017-05-07T17:31:38Z")

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“I was raped. Thanks to Republicans, I could be denied insurance for surviving.”

[http://wapo.st/2p4sM81](http://wapo.st/2p4sM81)

> [@](#):
>
> …the most recent version of the American Health Care Act allows insurers to classify rape as a preexisting condition (and thus puts survivors at risk for increased costs and denial of coverage)…

WTF?

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<div class="post-metadata">

**Author:** ![mhendo](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/mhendo/32/3159_2.png) [@mhendo](https://boards.straightdope.com/u/mhendo)\
**Post date:** [May 7, 2017, 5:40pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/719 "2017-05-07T17:40:18Z")

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> [@ThelmaLou](#):
>
> “I was raped. Thanks to Republicans, I could be denied insurance for surviving.”
> 
> [http://wapo.st/2p4sM81](http://wapo.st/2p4sM81)
> 
> WTF?

The AHCA is a fucking abomination for a variety of reasons, but this claim is pretty inaccurate.

An [analysis](https://www.washingtonpost.com/news/fact-checker/wp/2017/05/06/no-the-gop-health-bill-doesnt-classify-rape-or-sexual-assault-as-a-preexisting-condition/) (by the same newspaper) says that:

> [@](#):
>
> this claim relies on so many factors — including unknown decisions by a handful of states and insurance companies — that this talking point becomes almost meaningless.

Their analysis says:

> [@](#):
>
> AHCA specifically addresses states’ abilities to get a waiver so that “health status” is no longer protected from underwriting, according to a House Energy and Commerce aide. But other protections remain in place — including for mental conditions and conditions relating to acts of domestic violence — and are still protected from being incorporated into insurance underwriting, according to the aide.
> 
> States and the Secretary of Health and Human Services would decide how to interpret “health status.” State waivers must be approved by the federal government. Opponents of AHCA say that because “health status” is up for interpretation, there is no control in the bill to prevent rising costs for survivors of rape and sexual assault.
> 
> But there is another wrinkle which makes this scenario highly unlikely: Virtually every state already has a law prohibiting insurance discrimination based on sexual assault and/or domestic violence.
> 
> \<snip\>
> 
> Bottom line: Almost all states (at least 45 to 48) have their own laws protecting survivors of domestic violence and sexual abuse. Even if AHCA became law as currently written, state law still determines what can and cannot be used for rating, according to the National Association of Insurance Commissioners.

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<div class="post-metadata">

**Author:** ![ThelmaLou](https://sea3.discourse-cdn.com/straightdope/user_avatar/boards.straightdope.com/thelmalou/32/390_2.png) [@ThelmaLou](https://boards.straightdope.com/u/ThelmaLou)\
**Post date:** [May 7, 2017, 9:07pm UTC](https://boards.straightdope.com/t/the-repeal-of-obamacare-aca-step-bystep-inch-by-inch/776146/720 "2017-05-07T21:07:20Z")

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> [@mhendo](#):
>
> The AHCA is a fucking abomination for a variety of reasons, but this claim is pretty inaccurate.
> 
> An [analysis](https://www.washingtonpost.com/news/fact-checker/wp/2017/05/06/no-the-gop-health-bill-doesnt-classify-rape-or-sexual-assault-as-a-preexisting-condition/) (by the same newspaper) says that:Their analysis says:

Thanks for that clarification. Could the sticking point be “\*\*domestic \*\*abuse”? Namely, if the rape does not happen as a result of domestic abuse?

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