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This is true but what policy are you talking about? The TrumpCare "plan" was simply to let congress critters deal with the details of how to repeal (nope, can't do that w/o 60 votes in the Senate) and replace (hmm... isn't that just rename now?) PPACA. A conservative can and should object to simply renaming (fixing?) ObamaCare as TrumpCare - if you cannot repeal it then you cannot replace it.
Like Trump said, Congress has been planning to repeal and replace Obamacare for 7 years. Why shouldn't he think they're are ready to go?