It's all about chasing votes now, so they can pass a bill, any bill.
Here's the big problem Republicans are facing on Trumpcare: They're facing so much pressure to pass a bill — any bill — that the changes have stopped being about improving the policies, or steering toward a broader, coherent vision of conservative health care reform. It's all about chasing votes now, and the more they try, the more the changes leave health care experts scratching their heads.