Paul Ryan said that Republicans made “improvements” to their so-called health care bill. Well, if you’re in the top 2 percent or you are the CEO of a big pharmaceutical company, yes the Republicans did make major improvements for you. Under these “improvements” the top 2 percent will receive an additional $31 billion in tax breaks on top of the $275 billion already included in the Republican bill. Big pharmaceutical companies will now be getting $3 billion more — $33 billion in total. And instead of getting a $145 billion tax break, big insurance companies will be getting a $161 billion tax break — $16 billion more. Meanwhile, tens of millions of Americans will still lose their health insurance and premiums for low-income seniors will still skyrocket. They will still be left in the cold. The Republican bill is not a health care bill at all. It is a massive tax break for the rich and powerful and it must be defeated.