"House Speaker Paul Ryan (R-Wis.) reportedly delivered a message to his colleagues earlier this week, seeking their support for the American Health Care Act: “This is who we are. This will define us.” It was one of the more accurate things he’s said in a long time. The AHCA would expose many millions of Americans, including some of society’s most vulnerable members, to the possibility of crippling medical expenses ― forcing them to choose between financial hardship, medical hardship or both. At the same time, it would lower taxes on corporations and wealthy Americans, to the tune of $594 billion over 10 years. Insurance for millions, or tax cuts for millionaires ― that was one of the choices House Republicans faced on Thursday when they voted on the bill. And, with just a small handful of exceptions, they chose the latter."