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The House GOP is set to slash health care spending. Tea Party voters want more spending.

Speaker Paul Ryan’s American Health Care Act would cut federal spending on health care by about $1.2 trillion, in part by reducing funding to Medicaid for the poorest Americans.

But cutting government spending on health care is deeply unpopular with the public overall — and not just among liberals and independents. A new poll released Wednesday by the firm Morning Consult found that wide margins of both conservatives and self-identified Tea Party supporters want the government to increase its spending on health care, rather than decrease it. Only 20 percent of Republicans want less government spending on health care; more than half say that it should be increased.

The margins are not even really close:

These numbers, of course, are even higher for liberals, Democrats, and the country overall. By a 58 to 15 margin, Americans overall want increase rather than cut government spending on health care.

The irony of this finding is that the same Republican rank-and-file that wants more government health care spending is in favor of Ryan’s bill slashing it, at least according to the current polling. Morning Consult’s poll on Wednesday, for instance, found that 62 percent of Republican voters like the GOP health care plan. (Though that’s down from the 65 percent who said they supported AHCA earlier this month.) Similarly, a Fox News poll last week found that 69 percent of Republican voters back Ryan’s bill, even as more than half of them want more government health care spending.

On Wednesday, Business Insider’s Josh Barro described the central dilemma of the Republicans’ health care predicament: They campaigned on doing something to fix what voters hated about the health care system overall, without making clear that their remedy would involve cutting the programs voters support:

People are always upset about how much healthcare costs, and healthcare is very complicated, so it is hard for voters to tell whether a politician is actually able to keep his or her promises about it.

If you went around telling abortion opponents that you would ban abortion and abortion-rights advocates that you would give abortions out free, the two sides might notice you were promising two incompatible policies. But for years, Republicans were able to capitalize on public ignorance [about health care] and get away with promises that amounted to “much less expensive and much better.”

Their political strategy was cynically brilliant until it led to their getting elected.

The new polling makes it additionally clear just how wide this chasm is. Republicans are caught between a promise (repealing Obamacare) that their base wants, and their main solution (reducing government health spending) that they don’t. And with just one day until the House votes on Ryan’s bill, they don’t have much time to figure it out.

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