Well he sure can push a bill through the House and his groupees can worship at his heels saying what a deal he has made now getting the FC to agree to 4 of 12 regs. So if _resident Trump is good with those numbers he pushed the bill for a vote and it is NOT a repeal. So he LIES!!!!!
At least with the crap sandwich of Ryancare, there is a Phase 2 that lets Trump change things and when possible, a Phase 3 that phases people off, but likely after the economy has kicked in more jobs and fewer people are on Ryancare.
Trump believes he can work with that mess. If so, I say go for it.
Ryan won't let anything else happen and the Republicans don't have the balls for a repeal, so it won't come up for a vote.