100 Most Influential People in Healthcare - 2017

• Compensation: $223,500

• Years on list: 5

The congressman from Wisconsin has faced the difficult job of trying to unite a fractious Republican caucus ever since he was elected to replace John Boehner as House speaker in 2015. Now serving his 10th term in the House, Ryan has been a longtime critic of the Affordable Care Act and has sponsored proposals for deep reductions in Medicaid and a total restructuring of Medicare under a premium-support, or voucher, system. This year, he was successful in passing'by the thinnest of margins'the latest House version of the ACA repeal-and-replace proposal, the American Health Care Act.