Yes, the fiscal conservatives certainly have a point but if they stand too firm (like Massie did), nothing will pass.Actually,
Those calling for even more fiscal conservative positions are correct.
Chip Roy did a good job of balancing that this time. He worked very hard to get some final changes, like a tweak which would actually make it less likely the remaining 9 or so states which didn't add Medicaid expansion before, still won't - and that's good IMO. Medicaid exploded due to the expansion piece and veered so far and too far from its original purpose. I wish we could just return it to pre-expansion, but unfortunately, that would have never passed. But the work requirements and last minute additions like Roy got, are changes in a better direction. So, Chip Roy worked hard to get what he could and then voted yes.