.... Yes, this is the 1st big defeat of Trump's administration (that of the ACHA being pulled from being voted on) It didn't have the GOP votes to pass in the House (we won't even discuss the Senate here).
This is by no means Trump's fault, or even lack of his leadership, although he'll get shelled by the media and Democrats as a failure of his doing. No, this sits squarely on the GOP, and I mean the ENTIRE DC GOP. For years and years and years, they ran on repeal, and touted multiple plans to replace. "If only they had a Republican President and control of both houses", they proclaimed........WHALAAA!!, they now have it. And instead of putting together a simplified format, they ran on what largely amounted to Obamacare-lite....as in the "fixing" that Dems needed when they saw the ACA imploding. Now granted, they removed the mandates, which was paramount, but still had too many Government fingers in the pot.
I realize the problem.....you have to fashion a replacement bill that somehow appeases the conservative folk that ran on full repeal in the House, but at the same time, placate the moderate Republicans you'll need to theoretically have it pass the Senate. They should have at the very least gotten a bill thru the House, but I do applaud the GOP in one sense.....that unlike the Dems who took Pelosi's bait, hook, line & sinker, to pass that abomination of a healthcare bill, most of them without even having read it, at least the GOP is looking at the bill in great detail and consideration. But in the end, there should have been no excuse, NOT to come up with a replacement bill that would have passed the Republican controlled, House of Representatives