ST. LOUIS (KMOX) – Questions have been swirling about what will happen to the Affordable Care Act once President-elect Donald Trump takes office.

Related story – Countdown to Trump: Labor Looks Ahead to Trump Years

Will repealing the Affordable Care Act be a reality or nightmare?

In an effort to find out if repealing is feasible, KMOX’s Maria Keena and Health Editor Fred Bodimer went to those who know first-hand what the repercussions could be.

Dr. Samer Cababbe says besides points such as no pre-existing condition exclusions and insuring young adults until 26 on parents’ healthcare plans, there are few benefits to Obamacare.

“The downside to the Affordable Care Act is that it is not affordable. We know that there’s an extremely narrow network, very few providers except it,” Cababbe says. “The deductibles are extremely high.”

And St. Louis is down to only one carrier that accepts it, he says.

Trump has called for selling insurance across state lines. Cababbe says the problem there is, physicians negotiating with 50 different insurance companies to get contracts.

Missouri Hospital Association spokesman Dave Dillon hopes that if the plan is replaced, the new portion would address some of the coverage issues – especially in a state like Missouri.

“Missouri only experienced part of it through the health insurance marketplace, and not expansion of Medicaid,” Dillon says. “Missouri has about 700,000 uninsured people. Not many of them we see in emergency departments when they need care, and that is a really inefficient way to use the system.”

Health and Human Services says so far, nearly 250,000 Missourians have signed up for Marketplace coverage this year.

Jan Vest is CEO of the Signature Medical Group, which represents 160 private practice physicians throughout Missouri. He hopes the administration uses the American economic engine of capitalism to improve care, while reducing cost.

(TM and Copyright 2017 CBS Radio Inc. and its relevant subsidiaries. CBS RADIO and EYE Logo TM and Copyright 2017 CBS Broadcasting Inc. Used under license. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.)

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