Ryan is now on his own — can’t say Trump didn’t back him either.
I'm not at all sure Trump is that Machiavellian.
From what I can glean of the proceedings -- Trump was honestly enough trying to work with Congress through the Speaker of the House. That's Constitutional, isn't it? I would say it is. How else? By Presidential decree? We can't have that...
Ryan is left holding the bag. Trump has some fingerprints on that bag -- but only "I'm willing to" fingerprints.
Now how to Repeal outright? Make sure it's dead-dead?
Then the Dem's will be forced to come to the table. Somebody -- I don't know who, better get ready and stay "on ready" to deal with the humongous MESS the Democrat Party crafted (behind closed doors a lot of the time!).
The [Un]Affordable Care Act is still ObamaCare. Don't let anybody tell us different.