What Went Down On Health Care This Week

I think Ryan could promise not to take up that bill and that would be a believable promise, namely because Ryan is very conservative and I assume doesn’t want to be seen as the creator of “skinny repeal.” But I’m not sure how enforceable this is. Ryan can do whatever he wants. Once the bill is passed in the Senate, if the House bill passes the exact version, that’s it. I do think Trump can play a role here, in telling Ryan not to take up this bill. Or doing the opposite.

What sort of substantive assurances could Ryan give to these guys that the bill will go to conference? Just his word?

McCain says he’s looking to advice from his governor, much as Heller of Nevada has been looking to Gov. Brian Sandoval. A reminder that while Obamacare is a federal law, much of the health insurance system is run at the state level.