I have something mildly optimistic to say (for a change). The Republicans' stupid health care bill is probably so bad, in different ways, even from their own points of view (because they are divided on this issue even more than some others), that it may very well fail to pass entirely. Which will mean that when (not if) Democrats retake control of the Legislative and Executive branches again, we can actually pass a major improvement that includes, at minimum, a public option. For a variety of reasons discussed at length already during the long debate pre-and post- passage of the ACA, that will eventually lead to a National Health Care system with private option for rich people. I can live with that.
Other piece of good (not as good) news: even if they pass this piece of shit, it's enough like the ACA that, although it will actually be far worse fiscally and really will be in a death spiral almost right out of the gate, it, too, will form the basis for the same reforms, so ditto.