Paul Ryan's false choice

House Speaker Paul Ryan says the nation has just two options. It can accept his repeal and replace bill or it can keep the mess it already has. “It really comes down to a binary choice,” he said, trying to whip recalcitrant conservatives into line behind the American Health Care Act. “This is the closest we will ever get to repealing and replacing Obamacare.”

Many House Republicans are persuaded. So are some conservative commentators and activists. But they are mistaken because Ryan’s logic is faulty.