The deal just forced out into the open a truth which a lot of people have been avoiding up until now - there are only 45-48 "real" Republicans in the Senate. Until we get to 51, things like this are going to keep happening.
Unfortunately 45-48 "real" Republicans could be about the correct number, but there are far fewer "real" conservatives among those "real" Republicans (knock off another 10 at the very least) so it will be a long, long time before 51 votes are available.