Your explanation doesn’t match President Trump’s rhetoric and actions since the bill started being worked on, and certainly not his rhetoric from the campaign trail. He said it was the government’s job to “take care of everybody - get used to it, conservatives!” Trying to blame Ryan exclusively for something that has the President’s fingerprints all over it is not accurate. If anything it is President Trump that has been pulled to the right on this.
https://www.youtube.com/watch?v=j3ULSN70tuo
https://www.youtube.com/watch?v=mwN6sU4onFQ
Where he stands on the issue is not a mystery - he’s been perfectly clear.
Trump’s “take care of everybody” is very typical Trump speak. Only the libs take Trump literally, but not seriously. If the health care system works right, it does.