Making a deal with the devils in the House Freedom Caucus will give Ryan a win in the House and doom the bill in the Senate. It would bee a first 100 days wonder. Of course the Democrats won’t negotiate unless the GOP abandons the cut in non-wage income taxes and the Medicaid modifications. The problem is, for Ryan those are non-negotiable. Unless the Speaker agrees to keep his hands off Medicaid and replaces the non-wage income taxes with a more general value added tax or net business receipts tax as part of larger reform, reform is dead save for small bipartisan incremental tweeks to fix the law.