Tip O'Neill was a Democrat. Paul Ryan is a Republican, chosen for his position by Republicans. Why should Trump, or conservatives, be forced to eat crap-sandwiches served by someone supposedly on their own side?
First, the Ryan bill was only 66% crap sandwich. Now we are all eating 100% crap sandwich also known as Obamacare.
I am afraid you would be calling Ronald Reagan a crap sandwich eater since he compromised a lot with Tip O the democrat speaker.