This is the correct outcome! The Repubs have been saying for seven years that they would "repair or replace" ObamaCare, which they hated because Barack Obama has black skin. (It couldn't have been because of anything *in* the plan, because Obama had copied it from the Repubs to begin with.) For seven years they fundraised off racist donors who hated a plan that helps Black people more than Whites. The (R)'s won the 2016 election, in part, by promising to get rid of ObamaCare and make Black people die in the gutter as God intended. But of course they can't actually do that. ObamaCare, like MediCare, is now a permanent entitlement. Too many voters are getting benefits from it and it would cost too many votes to get rid of it.
So how did Trump get out of this unimplementable campaign promise, this "pre-existing condition" signature issue of the Republican party? He made a big show of *trying* to pass a lame attempt at replacement, which of course failed, and then he dusted off his hands, declared failure, and moved on. End of campaign promise! ObamaCare is now the law of the Republican land — which is the right answer for America. Of course, ObamaCare is a stinking pile of rotting garbage compared to what Canadians get, or what most every well-off country on the planet offers to their citizens (except Andorra — what is wrong with those people?). But Americans can't have nice things, so ObamaCare is the best they can do. And Trump has now announced what amounts to bipartisan support for it. Such a nice president!
I sometimes wonder whether the ban-on-some-Muslims is a similar trick. Trump repeated that promise over and over during the campaign because it got such big roars from the crowd, but banning Muslims will not Make America Great Again. We've tried that before. Banning Chinese people did not MAGA. Putting quotas on Catholic immigrants did not MAGA. Throwing all the Japanese-looking people into concentration camps did not MAGA. We know this approach doesn't actually help with anything except generating applause at election rallies. So Trump has twice now issued an "executive proclamation" in which he appears to be trying to keep his campaign promise to ban Muslims, only to be shut down by Conservative judges appointed by President W. Did Trump know that would happen? Was the whole Muslim-ban just a feint to get out of a inadvisable campaign promise?
And how about "Mexico will pay for the wall"? What a great applause line that was! But it seems pretty clear that Donald has no idea how to make it actually happen. Somehow he will need to make an attempt, declare failure, and move on. Might I suggest that the USA buy something for Canada, which then buys something for Mexico, which then buys the wall for the USA? It's a three amigos gift exchange! I can't imagine anything else that could possibly work.