What is so infuriating about Paul’s actions is that he has contradicted virtually all of his positions in order to stand against the Graham-Cassidy plan. He backed the so-called “skinny repeal” because it was the “last best chance” for reform – yet Graham-Cassidy is in many ways similar to skinny repeal, and it has become the last “last best chance” we’ll have.

He has talked about taking power away from the federal government, and yet he has declared his intent to vote to keep power over health insurance with the federal government by voting against a bill that would give that power to the states in the form of block grants.