The American Health Care Act is in trouble, not least because the Congressional Budget Office issued a devastating report that projects that 24 million fewer people would have health insurance by 2026 if Ryancare is enacted versus if Obamacare remains intact. Because I’m not a fan of Ryancare, I suppose I should be glad the CBO likely helped drive a stake through its heart. But the CBO’s scorekeeping is a double-edged sword. Yes, it’s helpful to know how much new legislation might cost over time. It would be even more helpful, though, to give more thought to how new legislation might work over time.