When your very unpopular Obamacare Repeal bill is bound to lose, there's no space between losing by 1 vote and losing by 95 votes.
Cuz once they know it's a loser, your own guys understand they'll gain more than they'll lose by voting against the thing.
We've known Ryan isn't very good at his job for a while, but until now, everybody's been telling us what a fucking wizard McConnell is - not any more. Not with this anvil chained to his leg.
A lot of normal people (ie: rubes) have been absolutely sure that the blustery rhetoric was just for show. All they wanted was for somebody to "go on up there to Washington and poke them ruling elites in the eye once or twice" and blah blah blah.
It'd be nice to think maybe now they'll start to see how real the consequences can be - especially when a few too many of these TeaBagger congress critters have their heads so far up their asses, even if they manage to open their eyes, it's no longer possible for them to see anything but their own shit.
This animal is badly wounded now.