What Went Down On Health Care This Week

Perry, I recognize there’s no assurance Ryan could give that would be legally binding, but assuming he made the assurance in public, can you imagine him outright reversing himself? That seems like it would be pretty damaging to his credibility. (Granted, I’m not sure we can rule anything out at this point.)

Graham is laying out how he called Mark Meadows of the Freedom Caucus and implored him to make sure Ryan will have a conference. Remember, the House did kind of start this, with their lack of commitment to a conference.

In politics, context changes quickly. Remember how the Democrats passed the ACA through the Senate in December 2009, thinking they could revisit its rougher edges (see Cornhusker Kickback)? That didn’t work out so well, and some of the ACA’s lingering limitations date to that gamble. While Speaker Ryan can commit to not pass “skinny repeal” immediately, what happens if the politics in the Senate change, such that it’s “skinny repeal” or nothing?