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WASHINGTON — The politics of the health care debate have become byzantine. You have conservatives upset the Republican bill isn’t aggressive enough, moderates worried their constituents could be at risk, leadership eager to push the legislation through so they can move on, and a President Trump-shaped enigma at the center.

Every policy decision tips the scales, and leadership has struggled to find the right balance.

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It’s a perilous push-and-pull and a lot for everybody else to keep track of. So let’s make it simple.

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