The Congressional Budget Office score on Trumpcare was a cold dash of water thrown onto Republicans trying to ram through repeal, whether they admit it or not. The bottom line is really, really, bad—14 million losing insurance in the first year and 24 million in the next 10 years. House Speaker Paul Ryan chose not to admit it in his response, saying the CBO confirmed what he wanted it to, and Senate Majority Leader Mitch McConnell played along.