Unchastened by multiple past failures of leadership and intellect, the Republicans in Congress have signaled their intention to bring one more piece of “repeal Obamacare” legislation to a vote before the month is out, so as to secure the benefit of a 50-votes-wins procedure. This time it’s the Graham-Cassidy version that would replace the Affordable Care Act with block grants to the states which would then be free, individually, to permit insurers to effectively price out of existence the coverage for pre-existing conditions that is now mandated by federal law. They will do this even without scoring of the impact by the Congressional Budget Office.

Thus, each state that chooses to support the Republican goal of undermining access to health insurance for Americans in order to secure some vague idea of “fiscal responsibility” and, more truthfully, to stamp out perceived federal support for such practices as abortion, can do whatever it wants with access to health insurance. This, notwithstanding that all polling shows a substantial majority of Americans favor key elements of Obamacare protections, including coverage for pre-existing conditions.

This effort is urged on the Republican Party by its putative leader, Donald Trump, who hates everything associated with Barack Obama and is determined to remove all vestiges of Obama’s presidency from the face of the earth. Trump thinks he can’t lose here because he promised his so-called political “base” that he would get rid of Obamacare. If he succeeds, and the base delusionally concludes it’s a victory for them, Trump is a hero. If Congress cannot deliver the bill to him for signature, Trump still sees himself as the winner because it is Congress’s failure, yet again, that has denied him fulfillment.

And nothing is more important to Trump than winning. So far, his presidency has failed in almost every significant initiative it has attempted, so Trump is desperate to accomplish something, anything, regardless of the consequences.

It is time, once again, for the people to rise up and reject this outrage by demanding in the clearest way possible that every member of the Republican Party in Congress vote against this monstrosity. Almost all of them will disrespect the will of the people, of course, because in the end they don’t give a damn about the people. But there are a few, literally only a few, Republicans who have previously shown the courage and humanity to stand apart from the rest of the drones.

Here we have Senators McCain (Arizona), Collins (Maine) and Murkowski (Alaska). It comes down to the same three people to demonstrate the moral fiber and independence of thought and action that history now demands of them. Senator Paul of Kentucky has already said he is opposed to the bill, but you can’t count on him to stay that course. He hates the Affordable Care Act almost as much as Trump does.

Everyone who cares about this should lay down a barrage of calls, emails, tweets and posts calling on those three to stand, once more, as the bulwark against the depravity of the Republican Party and its attempt to deny tens of millions of Americans any modicum of real access to health insurance.