Trump maybe a pragmatist but he also sound like someone who has not studied Right wing philosophy, so not familiar with what certain words/labels means to people. Conservative have a certain meaning in politics, not to be treated generically
Trump does not talk like someone who’s an insider to politics. He use words like pro-choice and universal health care fairly loosely - he treat those labels in isolation without a definition recognized by most left or right.
When he talk about being pro-choice, he actually believe in choice as opposed to most leftists who are actually pro-abortion and not pro-choice.
When he talk about universal health care, he talks removing state barriers for competition and savings account. This is closer to Singapore Health Care system, as oppose to European/Canada horrible health care system