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Anti-poverty warrior Paul Ryan lied about the millions of Americans who will lose insurance under Trumpcare.

Zach Gibson / Getty Images

The Congressional Budget Office, which Republicans have been working hard to preemptively discredit, has published its much-awaited cost estimate of the American Health Care Act—the GOP plan to replace Obamacare—and the bottom line is staggering.

CBO and JCT estimate that, in 2018, 14 million more people would be uninsured under the legislation than under current law. Most of that increase would stem from repealing the penalties associated with the individual mandate. Some of those people would choose not to have insurance because they chose to be covered by insurance under current law only to avoid paying the penalties, and some people would forgo insurance in response to higher premiums. Later, following additional changes to subsidies for insurance purchased in the nongroup market and to the Medicaid program, the increase in the number of uninsured people relative to the number under current law would rise to 21 million in 2020 and then to 24 million in 2026. The reductions in insurance coverage between 2018 and 2026 would stem in large part from changes in Medicaid enrollment—because some states would discontinue their expansion of eligibility, some states that would have expanded eligibility in the future would choose not to do so, and per-enrollee spending in the program would be capped. In 2026, an estimated 52 million people would be uninsured, compared with 28 million who would lack insurance that year under current law.

I’ve bolded the key findings. The initial 14 million, which will include millions who “would forgo insurance in response to higher premiums,” will lose their insurance in a midterm election year. By the end of the budget window, the uninsured ranks would be 24 million higher than if Republicans just left Obamacare alone, or satisfied themselves with cutting some of its tax increases.

Remember that GOP leaders have spent the past years saying repealing and replacing Obamacare wouldn’t be so hard, the past months saying they would expand coverage at lower costs, and the past days insisting nobody will be worse off as a result of AHCA. The following image is from a House Republican leadership “fact sheet.

They were all lying.