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Megan McArdle

The Republican Health Plan's Quick Death Spiral

It's a terrible outcome for everyone except Donald Trump.
Paul Ryan had some bad news for the president. But it's worse news for Paul Ryan.

Paul Ryan had some bad news for the president. But it's worse news for Paul Ryan.

Photographer: Mark Wilson/Getty Images

On Friday, in floor debate over the American Health Care Act, Democratic Representative Jim McGovern said: “I look at this bill … and I have to wonder ‘What are my colleagues thinking?'” It’s fair to say that he spoke for a lot of health-care wonks.

I certainly can't advance a rational explanation of why Republicans are so committed to pushing through a hastily drafted bill that no one likes. The initial draft was scored by the Congressional Budget Office as causing 24 million Americans to lose their health insurance -- which is more than would lose care if the Republicans simply repealed Obamacare without replacing it. Still, Republicans planned to vote on the bill on Thursday, the seventh anniversary of the passage of Obamacare.