House Speaker Paul Ryan has told senior Republicans that he won’t change the main pillars of his plan to repeal and partially replace Obamacare, even as Republicans search for tweaks that can break their logjam over the legislation.

With a steady trickle of Republicans coming out against the bill, Ryan is sending the message he won’t drop any of its four main elements -- refundable tax credits, health savings accounts, the phaseout of Medicaid expansion and the ban on insurers denying coverage over pre-existing conditions -- according to a senior Republican aide..

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