House Speaker Paul Ryan is determined to raise as much money as possible to fuel his own rise, and his party's, no matter how many people's health may suffer in the process.
With almost two-thirds of the state legislatures in the country under GOP control, a ratified constitutional amendment is a possibility, although a long shot.
Sarah van Gelder is cofounder of YES! Magazine. Follow her Edge of Change Road Trip here. Follow her on Twitter: @sarahvangelder.