Being Speaker of the House with an extraordinarily slim majority is a really tough job. You have to cut deals because you have no other capacity to get anything done. That’s because given the fact there is a one-vote “motion to vacate” rule that is in place in the House of Representatives, any one member of the Republican caucus can challenge the job of the Speaker of the House at any given time.
It also means if a bunch of headline-grabbing people in the Republican caucus are more interested in being on television than in actually governing, maintaining a majority, or growing that majority to get big things done, that can hold up the works.
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