Senate Majority Leader John Thune (R., S.D.) could have chosen to shrink the bill’s debt-ceiling increase to sway Rand Paul (R. Ky.), or adjust the Medicaid provisions to woo Sen. Thom Tillis (R., N.C.) and Collins. Instead, he gave more to Alaska—and it worked.

The pivotal yes vote came from Sen. Lisa Murkowski, whose support was secured following negotiated side deals for her home state Alaska