In most low grade horror films, particularly of the slasher variety, there’s a point where the hero, using the ‘Last girl’ thinks the killer is dead, only to have the bad guy rise and start attacking again. Like those poorly thought out monstrous plots the GOP is taken their ACA repeal and shown to the world that it is not dead.

Cassidy-Graham, the latest, and truly most likely to be final, attempt to repeal the ACA is shambling its way toward a vote on the Senate floor. This is likely the final push as the Senate Parliamentarian has ruled that the Budget Reconciliation bill must pass by Sep 30th.

There have been, of course, no debates (apparently only 90 seconds of debate remains on the clock.) No committee hearings or mark-ups, no public hearings, and there will be no CBO score letting us know the final cost and the number of people who will lose their insurance, but the GOP is plunging ahead despite all that.

This is an example of perverse incentives. Millions of people, perhaps tens of millions if the earlier bills are any guide, getting tossed off their insurance is something that would normally make an elected official very hesitant, but there’s something more terrifying to the sitting GOP members, a primary challenge.

For a number of years, approaching a decade now, the GOP has through a mixture of lies and hyperbole, painted the ACA (Obamacare) as the greatest evil, failure, and theft of liberty to have ever risen against the nation. (Death Panels anyone? Worse than Slavery?) They have convince their dedicated base that the law must be repealed and election cycle after election cycle they have promised just that, while lying their asses off about ‘replace.’ This cycle of lies and over promising fertilized the ground Trump’s candidacy. (gee, thanks.) If they don’t pass something, then a loud mouth with bigger lies and bigger promises will challenge them from the right in the primary. For senators that’s a serious threat and for House members it very nearly electoral death because safe districts make such challenges stronger than competitive ones.

Because of the calendar deadline if the Senate passes this bill the House will be faced with the choice of passing it as is or killing it. I would not bet on its death.

I have friends for whom this bill will be a terrible thing. There is no doubt that if it passes and is signed, millions and millions of people will be enraged and the Democratic party will be emboldened to go even bigger, having had their faces shoved in the fact the GOP will never compromise for market based solutions.

I keep hearing Jamie Lannister saying “How do you think this ends?”