As Congress prepares to vote on another health care bill, Republicans are struggling to secure enough party support to pass it.
Michigan's Fred Upton is the latest GOP representative to pull his support for the health care replacement plan. Upton is seen as a big voice when it comes to health care, having chaired the House Energy and Commerce Committee from 2010 to 2016.
The House goes on recess this Friday, and lawmakers could face pushback from voters if they return to their districts without voting on a health care bill.
And delaying on health care could frustrate President Trump. The last time House Republicans failed to deliver a vote, the president went after the GOP, tweeting sarcastic praise for the Freedom Caucus and promoting a Fox News program calling for Paul Ryan to step down.
Jeanine Pirro said: "Ryan needs to step down as speaker of the House. The reason? He failed to deliver the votes on his health care bill."