When Obamacare passed Congress, the Democrats who wrote it tried to balance competing interests and minimize winners and losers. Once it's repealed, Republicans will have to do the same thing with its replacement.
It's not clear that they can.
They'll try, but unless the new system covers as many newly insured people as Obamacare, everyone who benefits from more paying customers will be hurt — and hospitals and other health care providers are bracing for the biggest hit.
The tradeoffs: Every time there's a major reform of the health care system, there are bound to be winners and losers. Some of it can be minimized. With Obamacare, insurers had to cover more expensive patients, but they were also rewarded with new, paying customers.
Hospitals got cuts in their payments, but they also got more insured patients. And drug companies had to pay new fees, but in return, Democrats didn't go after them on drug prices.
But there are some tradeoffs that are impossible to avoid. If sick people gain coverage, as they do under Obamacare, healthy people pay more to cover the costs — because that's how health insurance works.