A lot of Reps don’t like it because it leaves the bureaucratic mess that is Obamacare in place. Then they rely ‘on the HHS shall’ to undo a lot of Obamacare. If stuff is that easily undone with the HHS shall then it is just as easily put back in place if the Dems win the presidency again and put in a new HHS.
Ryan’s bill just turns the whole thing into a political football that’s dependent on which party wins.
The bill has been pulled. Trump loses another one. The swamp has not been drained.