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House Speaker Paul Ryan and his GOP lieutenants can afford to lose no more than 21 votes in the chamber, presuming all Democrats vote against the bill. (Photo: iStock)

Changes proposed to attract additional Republican votes for the party’s bill to repeal and replace Obamacare will narrow the amount of deficit reduction by more than half, according to the nonpartisan Congressional Budget Office, potentially further complicating conservative support for the legislation.

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