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By James Q. Lynch, The Gazette

HIAWATHA For Sen. Rand Paul, the midterm election boils down to this: We really think that if Joni wins, we win the Senate.

And if his party is in control, the Kentucky Republican believes the Senate will join the GOP-controlled House in voting to repeal the Affordable Care Act.

I dont have a lot of high hopes the president will be in favor of repealing it, Paul said after meeting with local business people in Hiawatha. But I think at the very least, Obamacare needs to be made less bad.

Paul, who is considering a run for the 2016 Republican presidential nomination, was in Iowa Wednesday stumping for state Sen. Joni Ernst as well as GOP 1st District candidate Rod Blum.

In doing so, he called for changes in tax policy to stimulate the economy and job creation, break congressional deadlock and, of course, fix health care reform.

Among the fixes the physician prescribes is expanding the use of health savings accounts an enhancement of freedom of choice.

Right now, the biggest thing Americans dislike about Obamacare is that they said you could keep your doctor, but you cant, he said. They said you would have the choice of keeping your doctor or buying what insurance you want, but you really dont.

At Mobile Demand, Paul spent about 30 minutes discussing changes in the tax code that he said not only would stimulate business, but help reduce unemployment and poverty.

The biggest problems facing business in the global marketplace, Paul said, are taxes, regulations and labor costs.

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Paul: Ernst, GOP Senate would make Obamacare less bad