House Speaker Mike Johnson is starting off the new year in a familiar, uncomfortable predicament:
- The Louisiana Republican faces a shrinking majority, a loss of control over the legislative agenda, and pressure from President Trump to embrace an issue many in the GOP want to avoid.
Why it matters: Trump is urging Republicans to make health care their issue and to be "flexible" on long-standing red lines. But many Republicans see health care as a losing issue for the party, especially in the 2026 midterms.
