(Credit: AP Photo/Susan Walsh, File) The Senate Republicans’ latest anti-Obamacare bill has bigger goals than destroying the Affordable Care Act and dismantling Medicaid. This bill aims to blow up the very foundation upon which a national health care system could be built — even if it roils private insurance markets via massive premium hikes for 2018. This overarching goal — to destroy the health care system’s structural underpinnings that could be used to create a national health care system—was made clear in the opening boasts of the Senate bill’s co-sponsor, Sen.