House Speaker Paul Ryan recorded denouncing Donald Trump during presidential campaign

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"The major components are staying intact", the House speaker said.

The Republicans aren't running a government, he said, "that makes you buy what we say you should buy". The House speaker declined NPR's invitation to take questions about his party's health care proposal but did take questions from CBS.


LIASSON: What I heard is him saying, yes, people will lose coverage, but that's not the way this should be judged.

"I'm a lifelong Republican", said Craig Garthwaite, co-director of the Health Enterprise Management Program at Northwestern University. The goal is more freedom and more choice. Rather than impose a modest tax that lowers healthcare costs, it shifts responsibility from the state to the individual-a move that sounds innocuous enough, except that it ignores the very real social consequences and public costs that ensue when less wealthy, more vulnerable Americans are forced to drain their bank accounts because they got sick at the wrong time. They want to halt the continuance by the end of the fiscal year.

The group didn't actually expect to encounter Ryan in his Racine, Wis., office, and the meal was an angry gesture of their displeasure with his proposed health care legislation. He said everyone will be covered, even if they can't pay. "So I do think he has a lot riding on this". Can he sell this legislation?

By 2026, CBO estimates, approximately 52 million people would be uninsured, versus 28 million who would be without health insurance under Obamacare. Is there a backlash? Compared to these figures, the CBO's research on the 2015 full repeal bill indicated it would insure more Americans than the Ryan plan. It's not based on your income and whether you may need it based on your income, but based on your age and what the price might be based on your age. He spoke with NBC. He's betting that, ultimately, costs for health insurance under this plan will go down.

INSKEEP: Is this true, that people are going to be assured of better, cheaper plans so they won't need as much subsidies? One of the things that's becoming increasingly clear is that the GOP reform bill is going to hit many of their key constituencies especially hard.

"What people want is to get care".

Breitbart editor Alexander Marlow says there's nothing unusual or surprising about the coverage of Ryan. He's saying that when they do, it will only be because they chose to go without it, once they were led into the glorious light of liberty.

LIASSON: That's right. They are. If you listen closely, you'll notice both the White House and several Republicans suddenly calling this RyanCare or the Paul Ryan bill. Also this weekend, Tom Cotton of Arkansas said to House Republicans, don't walk the plank. As he put it, "You get it if you want it".

Blaming Ryan has emerged as a common strategy among Trump loyalists and news outlets sympathetic to the president.

But there's a problem: 2018 is probably going to be a bloodbath for Republicans whether they pass repeal or not.

INSKEEP: Mara, thanks as always.



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