For seven years, Republicans have campaigned on repealing Obamacare.

Now that Donald Trump sits in the White House, the GOP finally had a chance to put a repeal bill on his desk to be signed into law.

But when the House GOP unveiled their repeal and replace bill, many immediately called Paul Ryan’s effort a complete betrayal of GOP voters and Donald Trump.

Ryan’s bill neither repeals nor replaces Obamacare.

In fact, it largely keeps Obamacare’s regulatory and tax structure in place.

Conservatives instantly panned the legislation.

Politico reports:

“A handful of House conservatives on Monday evening criticized GOP leaderships’ newly released Obamacare replacement bill, foreshadowing trouble for the repeal effort even after leaders tried to assuage the far-right.

Some House Freedom Caucus members dismissed the bill as creating a new “entitlement program” by offering health care tax credits to low-income Americans. A Republican Study Committee memo sent to chiefs of staff, obtained by POLITICO, echoed those comments and blasted the bill’s continuation of the Medicaid expansion for three years.

“This is Obamacare by a different form,” former Freedom Caucus chairman Jim Jordan (R-Ohio) told POLITICO. “They’re still keeping the taxes in place and Medicaid expansion, and they’re starting a new entitlement.”

Freedom Caucus member Dave Brat (R-Va.) piled on, telling POLITICO he’d vote against it in its current form because “the bill maintains many of the federal features including a new entitlement program as well as most of the insurance regulations.”

“Now [they] are saying we’re going to do repeal and replace but the bill does nothing of the sort,” he said. “[Speaker] Paul Ryan has always said the entire rationale for this bill is to bend the cost curve down, and so far I have seen no evidence that this bill will bring the cost curve down.”

One of the major problems with the legislation is that the portions of the law which actually does repeal Obamacare may never go into effect because they won’t start until 2020.

The Washington Examiner reports:

“However, under the bill as proposed, the Medicaid expansion would still be funded by the federal government through the end of 2019. Only starting on Jan 1. 2020 will the GOP reform start to go into place, which would transition Medicaid into a system in which each state receives a certain amount of money for each of its residents in the program and has more flexibility over how the program functions. That allocation would revert to per person spending levels from 2016 and then grow each year at the rate of medical inflation. However, states would still receive enhanced Obamacare-levels of spending for individuals who were grandfathered in by having enrolled in expanded Medicaid before 2020.

Likewise, Obamacare’s subsidies for individuals to purchase insurance on government-run exchanges would be available until the beginning of 2020.

What this means is that Obamacare’s two major spending provisions will carry on for nearly the next three years, and millions more people could theoretically be signing up for coverage through the program during this time.”

And there is no guarantee the GOP won’t pass an election year fix to stave off Democratic attacks that they are yanking away people’s health insurance right before Donald Trump runs for re-election.

There is also the possibility of Democrats taking control of one or both houses of Congress in the 2018 midterms.

They could then hold leverage over what happens in 2020 and block any repeal efforts.

Conservatives are calling Paul Ryan’s bill a complete betrayal.

Conservatives are also raising concerns that the bill is a deadly mix of bad policy and bad politics.

The legislation leaves Obamacare in place except for the employer mandate.

Employers will drop people into the individual market where the GOP legislation leaves the same Obamacare mandated benefits and regulatory structure intact.

This will continue to drive up insurance prices.

Paul Ryan’s legislation creates a system where people are now forced to buy poor health insurance at increasing costs.

But they won’t be able to blame it on the Democrats.

Conservative activists have called on the House Freedom Caucus and other conservative members to kill this legislation immediately.

Paul Ryan has stabbed Donald Trump and GOP voters in the back.

His legislation is still Obamacare – just by another name.