This is the closing of the first chapter of Americaโ€™s health-care saga,โ€ Rep. Paul Ryan says from his office, which is adorned with reminders of contests of the non-political kind: hunting mementos and a Green Bay Packers helmet. โ€œWe are witnessing the beginning of a whole new kind of health-care politics, the likes of which we have never seen before.โ€

Ryan, a 40-year-old Wisconsin Republican, says Republicans have a fight on their hands, and he is ready for combat. As Democrats scrambled this past week for votes, heโ€™s been listening to Metallica on his iPod and strategizing about how best to counteract Obamacare. Sunday nightโ€™s passage, he says, โ€œwas a rude awakening and a big wake-up call,โ€ but also a call to action for Americans โ€” and, especially, for the GOP.