It’s obviously not a great sign. The tactical problem Ryan has is that he needs to win over both conservatives and moderates, which means that every action creates a reaction. It’s not clear, for instance, that the White House offer to the Freedom caucus yesterday to strip out the “essential health benefits” of Obamacare won more conservatives or lost more moderates. The bigger problem is that it’s not a good bill, so no one is eager to make compromises or sacrifices to get it over the top.