With the defection of two more Senate Republicans from the effort to repeal and replace Obamacare, the Better Care Reconciliation Act of 2017 has been withdrawn from a vote.

On Monday, Sens. Mike Lee (Utah) and Jerry Moran (Kan.) issued statements declaring they would not vote for the revamped measure. They thus joined Sens. Rand Paul (Ky.) and Susan Collins (Maine) in opposing the measure, leaving the Republicans at least two votes short of possible passage.

“Republicans should just REPEAL failing Obamacare now & work on a new Healthcare Plan that will start from a clean slate. Dems will join in!” President Trump wrote on Twitter.

“This second failure of Trumpcare is proof positive that the core of this bill is unworkable,” Senate Minority Leader Chuck Schumer (NY) said. “Rather than repeating the same failed, partisan process yet again, Republicans should start from scratch and work with Democrats on a bill that lowers premiums, provides long-term stability to the markets and improves our health care system.”

The 52-seat Republican majority now says it will work on simple repeal over a two-year period.