Here's an eye-opener: Phil Gingrey, the former Georgia congressman and physician who was one of the most ardent foes of the Affordable Care Act and urged its repeal throughout a 2014 campaign for the U.S. Senate, has changed his mind.

From a piece written for the District Policy Group, a Washington lobbying firm where Gingrey now works:

The polls show, however, that most Americans see the American Health Care Act (AHCA) passed by the House Republicans as an unacceptable replacement…

Here’s the kicker:

While complete repeal and replacement may have made sense in 2010 ‑‑when the GOP first took back control of the Congress and the ACA was not yet implemented‑‑ too much time has passed and too much of our nation's health care infrastructure has been altered to get all the toothpaste back into the tube. A solution today should focus on keeping what works, fixing what is broken, and tweaking the areas that need refinement and revision. Perhaps a more accurate name than repeal and replace would be a retain/repair/revise package.