Reliable sources in Congress indicate that Republican leadership is considering tilting their Obamacare repeal and replace legislation to the right in an effort to tamp down some of the hostility emanating from the conservative groups who make a living opposing GOP leadership.

The House speaker evidently believes he will be able to keep Republican “no” votes below the 21-vote threshold necessary to save the bill with a combination of provisions to add a work requirement for Medicaid recipients as a sop to tea party types enraged about retaining a massive new federal entitlement and increased subsidies for seniors hard hit by a rollback of tax credits provided under Obamacare. Hard-line opponents of Speaker Ryan’s bill in the House are pushing for even more concessions, like the elimination of the tax credits that prevent the CBO from scoring the repeal as even more of a bloodbath in terms of loss of coverage than they already do.