Campaign Action Senate Democrats hold a lot of cards right now as Republicans are scrambling to clean up the mess popular vote loser Donald Trump has dumped on them with just about every action he's taken, but particularly with regards to the Affordable Care Act. His sabotage efforts have been both broad and deep but the latest, most extreme action of cutting off cost-sharing reduction payments to health insurers who are legally obligated to subsidize some lower-income customers’ costs has Republicans panicking.