THE BURNED OVER DISTRICT

But The Gilded Dumbass wants the repeal and maybe replace of The Affordable Care Act to happen or some of these Republicans may lose their seats next election. The fact that it is an irreparable piece of shit doesn't matter when you have an agenda to push.

President Trump offered a closing argument on Tuesday to on-the-fence lawmakers, warning House Republicans that they risked losing re-election next year if they failed to get behind legislation to repeal and replace the Affordable Care Act.

Mr. Trump’s warning, delivered in a closed-door meeting at the Capitol on Tuesday morning, came as House leaders were trying to pin down a majority to pass their repeal legislation, which is set for a floor vote on Thursday.

Mr. Trump told lawmakers that many of them would lose their seats in next year’s midterm elections if the repeal effort failed.

“He warned us that there are consequences if we don’t come together, for us as a party and also for individuals,” said Representative Richard Hudson, Republican of North Carolina. “He wasn’t threatening in any way. He was just giving us a pretty clear warning.”

Republican leaders have pointed to Mr. Trump’s advocacy for the House bill — though less than rock-solid at times — as they have struggled to gain enough support to push their measure through the House. But conservative lawmakers who are skeptical of the House bill could be hesitant to vote against it if such a vote might prompt a public shaming from the president.

“He made it very clear he’s all-in on this legislation,” said Representative Kevin Brady, the Texas Republican who is chairman of the Ways and Means Committee. “This is a historic moment and a historic promise for Republicans to deliver on this Thursday.”

Speaker Paul D. Ryan was upbeat. “The president just came here and knocked the ball out of the park,” Mr. Ryan said. “He knocked the cover off the ball.”

On the eve of Mr. Trump’s visit to Capitol Hill, House leaders released a set of revisions to their bill, including a provision sought by Republicans from upstate New York that would shift Medicaid costs from counties to the state government.

So Trump says they lose if they don't pass it. And they all know they will lose if they do pass it. And in the end it all comes down to how much lipstick needs to be put on this pig.