The struggle to repeal the Affordable Care Act was the first real test of how Republicans would handle their total control of the House, Senate and White House — and how the health care world would respond. And though the top-line effort was a failure, this won't be the last big legislative test for Republicans, and the power dynamic in Washington shifted significantly during the health care debate.
So, who came out of the health care mess stronger, and who came out weaker? Looking beyond the "winners and losers" of this particular process, who positioned themselves well for the future, and who hurt themselves? Here's a quick breakdown: