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In this March 24, 2017, photo, House Speaker Paul Ryan, R-Wis., announces that he is abruptly pulling the troubled Republican health care overhaul bill off the House floor, short of votes and eager to avoid a humiliating defeat for President Donald Trump and GOP leaders, at the Capitol in Washington. Trump wants to tackle tax reform, but the loss on health care deals a blow to that effort. The loss on health care deprives Republicans of $1 trillion in tax cuts, and the GOP is just as divided on what steps to take. (AP Photo/J. Scott Applewhite) (AP)