What's confusing, however, is basically everything else.
Republican senators' original bill to repeal and replace Obamacare was defeated yesterday.
On Tuesday, Senate Republicans barely, BARELY, passed their first legislative barrier to repeal and replace Obamacare.
"It is now obvious that the only path ahead is for the Senate to pass the narrow legislation that it is currently considering", Ryan said in a statement.
Titled the Better Care Reconciliation Act, that legislation would eliminate the mandates, but continue the federal subsidies that help consumers buy policies.
So is Obamacare dead because the motion to proceed passed?. The rules also allow for an almost unlimited number of amendments from either party. The Senate voted on a version of the GOP plan to repeal and replace Obamacare but it only received 43 votes and it needed 60 to pass. Senator Ben Sasse understands how frustrating this process is for Nebraskans and others are. "Beyond blocking people from coming to Planned Parenthood, it would increase premiums by 20 percent and take away coverage for 16 million people".
OK then. So what's McConnell doing now?. "He doesn't want to be the party that repeals part of Obamacare and leaves most of it in place".
When significant bills come to the floor of the House, they generally do so under what's called a "special rule", which dictates how long the bill will debate, which amendments can be offered, etc.
But here's where it gets wonky: Some Senate Republicans only want to pass the bill if they are promised it will not become law.
So it's all for show?
With all senators in their seats and protesters agitating outside and briefly inside the chamber, the vote was held open at length before McCain, 80, entered the chamber.
Republicans, under budget rules, needs to achieve at least $133 billion in savings in whatever proposal they end up trying to advance.
Internal GOP differences remain over how broadly to repeal the law, how to reimburse states that would suffer from the bill's Medicaid cuts and whether to let insurers sell cut-rate, bare-bones coverage that falls short of the requirements.
"The Freedom Caucus will hurt the entire Republican agenda if they don't get on the team, & fast". This is expected to begin late Wednesday or early Thursday and will last for an unknown amount of time.
But it appears that, ultimately, the unconventional process that led to the legislations' consideration-the bills were essentially written on the fly, and the "skinny" repeal was being worked on into Thursday night-galvanized his opposition.
After seven years of emphatic campaign promises, Senate Republicans demonstrated they didn't have the stomach to repeal "Obamacare" on Wednesday when it actually counted.
The bipartisan plea comes just hours after the Congressional Budget Office scored the "skinny" repeal legislation, which validate all of these concerns.
Sen. Lamar Alexander, R-Tenn., the chairman of the Senate health committee, was among the Republican senators who voted against the measure Wednesday.
Last question: What can the Democrats do about all of this? Two Republican senators, both women-Susan Collins of ME and Lisa Murkowski of Alaska-joined Democrats in voting against the motion to proceed.
One thing Democrats can do, though, is shame Republicans.
Democrats have said they have hundreds of amendments to offer and are preparing for a marathon.