From all the information I am receiving it appears that Ryan is the one who failed at his job. He did not handle this piece of legislation well at all.
PRyno went bankrupt.
Study: Senate Can Repeal Obamacare’s Regulations through Reconciliation, with Only 51 Votes
https://www.cato.org/publications/commentary/study-senate-can-repeal-obamacares-regulations-through-reconciliation-only
Sherman Antitrust Act Break UP MONOPOLIES, Big Pharma, INS and Congressional Lobbist
https://www.britannica.com/event/Sherman-Antitrust-Act
The Big Money Behind Paul Ryan’s Political Career
Ryan’s 20 biggest backers are in the financial, insurance, or health sectors
https://www.usnews.com/news/articles/2012/08/14/the-big-money-behind-paul-ryans-political-career
Paul Ryan: Bankrolled by the Banksters, the Privatizers, and the Kochs
http://www.prwatch.org/news/2012/08/11704/paul-ryan-bankrolled-banksters-privatizers-and-kochs
How the AARP Made $2.8 Billion By Supporting Obamacare’s Cuts to Medicare
https://www.forbes.com/sites/theapothecary/2012/09/22/the-aarps-2-8-billion-reasons-for-supporting-obamacares-cuts-to-medicare/#5d182c745935
How Money From Pharmaceutical Companies Sways Doctors’ Prescriptions
http://articles.mercola.com/sites/articles/archive/2016/04/13/doctors-receiving-pharmaceutical-money.aspx
How Much of Big Pharma’s Massive Profits Are Used to Influence ...
http://www.truth-out.org/news/item/33010-how-much-of-big-pharma-s-massive-profits-are-used-to-influence-politicians
The Republicans have had seven years to get ready for this moment and they did nothing. Once they were in, Ryan threw together this piece of crap bill without working with conservatives and moderates to ensure it was something they could live with. He conned President Trump to throw his support behind something he really didn't have a lot of interest in. It was a disaster in the making from the very beginning, and the result should not surprise anyone. Lessons learned are that Ryan really isn't very good at being a leader and President Trump needs to be careful about what Ryan wants him to put his stamp of approval on.
No, no failure. The events transpired by Conservative design.
The Conservative minority kept Obamacare alive