Senate Majority Leader Mitch McConnell, President Trump, and House Speaker Paul Ryan are some of the most important people in the current health care debate.

The most influential players in the debate over the Obamacare replacement bill

WASHINGTON — The politics of the health care debate have become byzantine. You have conservatives upset the Republican bill isn’t aggressive enough, moderates worried their constituents could be at risk, leadership eager to push the legislation through so they can move on, and a President Trump-shaped enigma at the center.

Every policy decision tips the scales, and leadership has struggled to find the right balance.