How To Make Republicans Own Their Destruction Of The ACA
Bluntly, if the Republicans repeal critical sections of the Affordable Care Act using budget reconciliation, the ACA is effectively dead. There is nothing that Democrats can do at this point to save it.
The only hope we have is that as a repeal becomes more of a reality, vulnerable Republican senators living in states with heavily impacted voters may actually cross the aisle and vote against the repeal. This isn't as unlikely as you might think. Republicans are now the dogs that caught the car. They expected Hillary Clinton to win and to use their fight against Obamacare to fuel their state and Congressional ballot races forever.
Now, there is absolutely nothing stopping them from trashing the Affordable Care Act and the more intelligent, and less idealistic, will realize that car fenders taste like crap.
If we can't stop the GOP from repealing the individual mandate, rolling back the Medicaid expansion, and killing the premium tax credits, though, then the Affordable Care Act is dead. All that's left then is to hang this destruction around the collective Republican neck, and stand back and let them strangle on it.