The U.S. House of Representatives’ vote Friday against the American Health Care Act could also be an embarrassing blow to the healthcare ideas woven into House Speaker Paul Ryan’s so-called “Better Way” agenda.

Throughout the short campaign for the AHCA, also known as Trumpcare, Speaker Ryan and his lieutenants regularly referred to Ryan’s “Better Way” plan, which outlines several healthcare reforms in the legislation, including tax credits that would replace the Affordable Care Act’s subsidies. In the health section of Ryan’s “Better Way,” he says the plan “provides a universal advanceable, refundable tax credit for individuals and families, many of whom found themselves left behind under Obamacare.”

But conservative groups and Republicans who say they are going to vote against Trumpcare say tax credits are merely another form of subsidies akin to “Obamacare Lite.” And that’s a key reason the conservative Freedom Caucus is balking at the legislation heading into Friday’s vote. The caucus has been opposed, and its votes are needed if Trumpcare is to pass.

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