I don't think it's beyond the pale. AOC never committed to supporting Pelosi after the election in 2018, and I think thats how she got onto the Oversight Committee. Pelosi is negotiating with them right now as it's her last term, the Squad is larger and has more leverage, and she would probably want to avoid conflict at the start of the term. If the concessions are bad, that sucks. But my point is that an M4A vote does not really help so literally anything else would be more beneficial