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Broadcasting alive from bedrock bottom, House Speaker Paul Ryan on Thursday acclimated a PowerPoint presentation to explain to reporters and the American bodies why they should like his bloom affliction bill that no one likes. You knew he was activity to burrow into the weeds because, like any air-conditioned hands-on wonk, he took off his clothing covering and formed up his sleeves.

(At this point, if you would adopt to stop account this column and instead aloof accomplish funny Photoshops of the television awning on which Ryan was announcement his PowerPoint—a accommodation I absolutely understand—here is a arrangement provided by the Washington Post’s Philip Bump.)

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Ryan explained that there are three genitalia to the abounding “repeal and replace” effort, article that bodies may not accept because he hasn’t explained it actual well. It is accurate that the plan alluringly has three prongs. As Slate has written, the abstraction is for Congress to abolition and alter as abounding budget-pertaining items as accustomed through reconciliation, while HHS Secretary Tom Price uses the acumen accessible to him—the admiral he affected benightedness of during his acceptance hearings—to abate added Obamacare regulations. The third phase, as Ryan explained, is to canyon a flurry of added authoritative bills that don’t anon affect to the budget. This third appearance is advised to appear after in the year. Since all of these bills would crave 60 votes in the Senate, the third appearance may be brief.



Ryan went through abounding of the bill’s above components. He explained how broadcast bloom accumulation accounts—having some “skin in the game”—will acquiesce bodies to save for Lasik eye surgery, like he did some years ago. (He did not explain how bloom accumulation accounts would allow, say, bodies with no accumulation to pay for chemotherapy.) He acicular out a cardinal of states breadth premiums and deductibles for Obamacare barter affairs are aerial while options are dwindling—a absolute problem!—without acquainted a distinct breadth of Obamacare success that ability accord abeyance to those ambitious to abolition it fully.

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Those who appetite to abolition it absolutely are the ones with whom Ryan is accepting trouble. The best arresting moment of the presentation came during the catechism and acknowledgment session, back he appeared to accord his best absolute acknowledgment yet as to why he can’t do what bourgeois agitators in his affair appetite him to do: a “clean repeal” of the law.

“What [the allowance industry] additionally tells us,” Ryan said, “is that if you alone abolition the law—gut and abolition the law, as some association are suggesting—then you accept triple-digit exceptional increases, and you’ll collapse the alone market.”

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Yes! You would! Jesus! This is a actual important point—so important that conceivably Ryan and all added Republicans should accept formed this into their address for the accomplished seven years.

Ryan and all Republican leaders haven’t aloof promised abounding abolition for seven years. They’ve anesthetized legislation to do so in the House dozens of times in the accomplished six years. In 2015, they beatific to President Obama’s board a near-total abolition bill that they knew he would veto, a bill they now won’t cartel canyon alive that it could be signed. If leaders are accepting agitation accepting their rank and book to accept him now as he sells this plan, there’s acceptable acumen for that, and it’s a botheration a PowerPoint won’t resolve.

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