--- title: Health Care: 5 Quotes Haunting Speaker Paul Ryan description: House Republicans weren't just critical of the Affordable Care Act, they were critical of how it was passed. canonical: https://time.com/4766895/health-care-vote-republicans-process-quotes/ author: Alana Abramson article:opinion: false article:content_tier: free article:published_time: 2017-05-04T17:43:22.000Z article:modified_time: 2026-02-23T04:45:25.186Z article:section: Politics og:title: Five Quotes That Show the Hypocrisy of the Health Care Vote og:description: Republicans were not pleased with these tactics in 2009 og:url: https://time.com/4766895/health-care-vote-republicans-process-quotes/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt1dbfe0201c3add42/6988bfebfb4eac50f1891414/paul-ryan4.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 og:image:width: 3000 og:image:height: 1688 og:image:alt: House GOP Pulls Vote On Trump's American Health Care Act og:type: article twitter:card: summary_large_image twitter:title: Five Quotes That Show the Hypocrisy of the Health Care Vote twitter:description: Republicans were not pleased with these tactics in 2009 twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt1dbfe0201c3add42/6988bfebfb4eac50f1891414/paul-ryan4.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 ---  # 5 Quotes Haunting Republicans as They Vote on Health Care > Sponsored content. 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Brief is TIME's Washington newsletter, written by senior correspondent Philip Elliott. It explains the politics, personalities and power dynamics behind the headlines, three times a week. It reaches 85,000 subscribers with a 37.0% open rate as of August 2026. #### Where can I get analysis of Washington politics by email? D.C. Brief is TIME's free Washington politics newsletter, available at time.com/newsletters. It is written by a TIME senior correspondent who covers the capital full time. #### Who writes TIME's D.C. Brief? Philip Elliott, a senior correspondent at TIME, writes D.C. Brief. #### Is D.C. Brief free? Yes. D.C. Brief is free at time.com/newsletters.  by [Alana Abramson](https://time.com/author/alana-abramson/)  ## Alana Abramson May 4, 2017 5:43 PM UTC  Paul Ryan answers questions at a press conference at the U.S. Capitol after President Trump's healthcare bill was pulled from the floor of the House of Representatives, on March 24, 2017 in Washington, DC. Paul Ryan answers questions at a press conference at the U.S. Capitol after President Trump's healthcare bill was pulled from the floor of the House of Representatives, on March 24, 2017 in Washington, DC.Win McNamee—Getty Images  by [Alana Abramson](https://time.com/author/alana-abramson/)  ## Alana Abramson May 4, 2017 5:43 PM UTC House Republicans weren’t just critical of the Affordable Care Act, they were critical of how it was passed, arguing it was rushed through Congress and poorly understood by lawmakers and the public. Seven years later, as they [voted on a bill](http://time.com/4765833/health-care-ahca-republican-bill/) to repeal major chunks of the law and replace it with their own alternative, their criticism came back to haunt them. In an effort to get the bill past a divided Republican conference, House Speaker Paul Ryan chose to hold a vote before the Congressional Budget Office could determine how much it would cost or how many people it would insure. Some House members said Thursday before the vote that they had yet to see the text. Below are five quotes about the process of passing the Affordable Care Act haunting Republicans today. **“Will Speaker Pelosi Wait for the ‘Final Number’ from the CBO?” —** House GOP Twitter Handle, March 18, 2010 This is what House Republicans [tweeted](https://twitter.com/HouseGOP/status/10682806849?ref%5Fsrc=twsrc%5Etfw&ref%5Furl=http%3A%2F%2Fwww.marketwatch.com%2Fstory%2Frepublican-senator-says-house-may-pass-health-bill-but-the-legislation-has-0-chance-in-senate-2017-05-04) on March 18, 2010, three days before the House passed the bill. House Democrats, like Republicans, had considered a version of Obamacare without a CBO score, but not the final passage that was voted on in the House and ultimately advanced to the Senate. The CBO came out with their assessment [that day](https://www.cbo.gov/sites/default/files/hr4872%5F0.pdf), and the House passed the bill on March 21, 2010. Now, it is Minority Leader Nancy Pelosi who is asking Republicans to wait for the CBO report before a vote. “The GOP legislation will have life or death consequences for tens of millions of families across America, and extraordinary impacts on state and federal budgets long into the future,” she wrote[ in a letter](http://www.democraticleader.gov/wp-content/uploads/2017/03/NoReplySharpCopier@US.HOUSE%5F.GOV%5F20170307%5F092444.pdf) to Ryan March 7\. “Members must not be asked to vote on this legislation before the CBO and Joint Committee on Taxation have answered the following questions about your legislation in 2018 and 2019, over the 10-year budget window, and in the decade after.” **“I don’t think we should pass bills that we haven’t read that we don’t know what they cost.” —** Paul Ryan, July 29, 2009 In [an interview with MSNBC](https://www.youtube.com/watch?v=Hdr49iGZOUw) in the summer of 2009, Ryan argued that the healthcare bill was moving too quickly through Congress without an adequate CBO estimate and a full understanding of the legislation. “If you rush this through before anyone even knows what it is, thats not good democracy,” he explained. **“Congress is moving fast to rush through a health care overhaul that lacks a key ingredient: the full participation of you, the American people.” —** Paul Ryan, July 18, 2009 As Ryan argued in [an op-ed ](http://archive.jsonline.com/news/opinion/51054302.html)in the Milwaukee _Journal Sentinel_ in the summer of 2009, the American people can’t fully support a bill if they don’t know its contents and costs. “The more Americans learn the details of what is being rushed through Congress, the more folks will be looking for alternatives,” he explained. Ryan’s argument aligns with one of the principles the GOP laid out in their “A Pledge to America,” the tasks they promised to accomplish if they took back Congress in 2010: legislative transparency. “We will give all Representatives and citizens at least three days to read the bill before a vote,” [the GOP wrote. ](http://pledge.gop.gov/resources/library/documents/pledge/a-pledge-to-america.pdf) But the full scope of the bill is unclear, even to some members of the House. > [](https://twitter.com/mkraju/status/859935748656689153) “It’s been a truncated process. I think its not what a lot of us would have liked to have seen from the standpoint of a more robust debate,” Rep. Mark Sanford told CNN, acknowledging that he wished House leadership would slow the passage. **“We shouldn’t rush this thing through just to rush it through for some artificial deadline. Lets get this thing done right.” —** Paul Ryan, July 2009 In 2009, Ryan criticized Democrats for pushing to hold a vote before Congress left for the August recess. Now, Ryan is pushing to hold a vote before Congress leaves for a recess. **“Congress and the White House have focused their public efforts on platitudes and press conferences, while the substance and the details have remained behind closed doors.” —** Paul Ryan, July 2009 Ryan also argued in 2009 that if a healthcare bill was to pass, transparency, which he said Democrats weren’t engaging in, was crucial. But this time, most of the details have been hashed out behind closed doors to ensure the support of the conservative Freedom Caucus, many of whom refused to back the bill in March. Rep. Tom MacArthur and the Freedom Caucus, for instance, [negotiated the MacArthur amendment,](http://time.com/4765833/health-care-ahca-republican-bill/?xid=newsletter-brief) which allows states to opt out of protections for preexisting conditions and convinced nearly 40 members of the Freedom Caucus to support the legislation, during the April recess. ```json [{"@context":"https://schema.org","@type":"NewsArticle","@id":"https://time.com/4766895/health-care-vote-republicans-process-quotes/","mainEntityOfPage":{"@type":"WebPage","@id":"https://time.com/4766895/health-care-vote-republicans-process-quotes/"},"headline":"5 Quotes Haunting Republicans as They Vote on Health Care","datePublished":"2017-05-04T17:43:22.000Z","dateModified":"2026-02-23T04:45:25.186Z","description":"House Republicans weren't just critical of the Affordable Care Act, they were critical of how it was passed.","url":"https://time.com/4766895/health-care-vote-republicans-process-quotes/","keywords":["Congress","Health Care","Obamacare","Affordable Care Act","Paul Ryan","onetime","AHCA"],"thumbnailUrl":"https://static.time.com/v3/assets/bltea6093859af6183b/blt1dbfe0201c3add42/6988bfebfb4eac50f1891414/paul-ryan4.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","author":[{"@type":"Person","name":"Alana Abramson","jobTitle":null,"url":"https://time.com/author/alana-abramson/"}],"articleSection":"Politics","image":[{"@type":"ImageObject","url":"https://static.time.com/v3/assets/bltea6093859af6183b/blt1dbfe0201c3add42/6988bfebfb4eac50f1891414/paul-ryan4.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","width":1200,"height":675,"headline":"House GOP Pulls Vote On Trump's American Health Care Act","caption":"House GOP Pulls Vote On Trump's American Health Care Act","creditText":"Win McNamee—Getty Images","representativeOfPage":true}],"publisher":{"@type":"Organization","name":"Time","url":"https://time.com/","logo":{"@type":"ImageObject","url":"https://time.com/images/logo.png","width":528,"height":156},"foundingDate":"March 3, 1923","sameAs":["https://www.facebook.com/time","https://www.instagram.com/time/?hl=en","https://twitter.com/time","https://www.pinterest.com/timemagazine"]}},{"@context":"https://schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"/section/politics/","name":"Politics"}},{"@type":"ListItem","position":2,"item":{"@id":"/tag/congress/","name":"Congress"}},{"@type":"ListItem","position":3,"item":{"@id":"https://time.com/4766895/health-care-vote-republicans-process-quotes/","name":"5 Quotes Haunting Republicans as They Vote on Health Care"}}]}] ```