here to weigh in is radiologist dr. nicole sapphire. thanks for being with us again. good morning. ainsley: you heard mike pence saying wants to repeal immediately where, we all heard that and know that. what if they repeal and don t have immediate replacement, what happens? without a doubt something momentous brewing in washington now. come january 20th, something will be done to repeal obamacare. whether executive order by donald trump. that will be a little more symbolic rather than substantiated because majority of repealing of aca will need to be done by legislative action which already started. we introduced a budget reform which will begin the process of repealing the aca. to be clear, that is not necessarily going to be repealing the aca but by removing funding, we re going to accelerate the downward spiral that the aca already is in what will happen essentially without the penalties and mandates, there is no guarranty on the subsidies and tax credits.thereg insurance compa