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Speaker.gov / YouTube

Paul Ryan rolled up his shirt sleeves and broke out a PowerPoint to educate Americans about his plan for repealing and replacing Obamacare. Most of the major cable networks broke in for the riveting show — there was even a balloon animation to illustrate the expanding costs of Medicaid.

But his goal was to convince other conservative lawmakers that his plan is the way to go: "The time is here. The time is now. This is the moment. And this is the closest this will ever happen. It really comes down to a binary choice."

The early reviews? Not great, at least from Rep. Justin Amash, who tweeted: "Binary choice" fallacy is a tool partisans on both sides use to quash policy debate and avoid difficult job of persuading and legislating.

Go deeper

3 hours ago - Health

Food banks feel the strain without holiday volunteers

People wait in line at Food Bank Community Kitchen on Nov. 25 in New York City. Photo: Michael Loccisano/Getty Images for Food Bank For New York City

America's food banks are sounding the alarm during this unprecedented holiday season.

The big picture: Soup kitchens and charities, usually brimming with holiday volunteers, are getting far less help.

5 hours ago - Health

AstraZeneca CEO: "We need to do an additional study" on COVID vaccine

Photo: Pavlo Gonchar/SOPA Images/LightRocket via Getty Images

AstraZeneca CEO Pascal Soriot said on Thursday the company is likely to start a new global trial to measure how effective its coronavirus vaccine is, Bloomberg reports.

Why it matters: Following Phase 3 trials, Oxford and AstraZeneca said their vaccine was 90% effective in people who got a half dose followed by a full dose, and 62% effective in people who got two full doses.

Updated 8 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Health: Coronavirus cases rose 10% in the week before Thanksgiving.
  2. Politics: Supreme Court backs religious groups on New York coronavirus restrictions.
  3. World: Expert says COVID vaccine likely won't be available in Africa until Q2 of 2021 — Europeans extend lockdowns.
  4. Economy: The winners and losers of the COVID holiday season.
  5. Education: National standardized tests delayed until 2022.