I suspect Trump’s stating his purpose is coverage for all has put Ryan’s feet in the fire.
Ryan is talking “access for all”, and that will undercut Trump’s promise to repeal and REPLACE.
Replace it with a free market. Government IS the problem. Plunking down a big pot of gold guarantees prices go up. Add in needlessly complex reimbursement schemes increases administrative overhead. On and on.
De-governmentalize and de-insuranceize routine care. Insurance is for disasters, not maintenance. And fedgov has no authorization whatsoever to pay for or provide insurance or health care.
Ryan wants access for all and Trump wants insurance for all. Which is worse?