Of course it should be used if necessary. Who cares if it really pisses off the GOP? When reconciliation was used by Bush et al to push through tax cuts for the ultra-wealthy, it pissed us off! And you know what we were told? “If you don’t like it, you are free to leave.”

So, if they wish to leave, I wish them good luck with that, and here is a convenient map of the UHC-free countries  they can peruse at their leisure, to help them decide upon their preferred destination. I’ve heard that the autumn foliage and climate in Burundi is absolutely fantastic, by the way.