I have long believed that the deal the Republicans made a grave error when they pushed the Tea Party into the forefront of their party's GOTV apparatus, and made Obamacare a major issue. It set up expectations that they cannot deliver on, at least while keeping their donor class happy and far Right happy.
Now, on the surface Obamacare looks like a great piece of legislation for Republicans to target --Obamacare basically pays for older people's healthcare on the backs of partially the healthy and partially the rich (which then, by Republicans and corporate Democrats, was immediately shifted away from the wealthy donor class and right onto the deficit), it has no meaningful price controls, and it did nothing to curb the price of drugs. In other words, it's your typical milquetoast "moderate reforms" that really only address about 25%-50% of the problems, but makes Democrats feel like they're done a great, noble thing. So, sure, that sounds like low-hanging fruit, politically speaking.
Here's the problem: There is no Republican plan for healthcare, and there can't ever be one. Either you have to go in and place massive legal restrictions on the healthcare industry and publicly subsidize massive portions of healthcare --which will cause a widespread revolt among the donor-class-- or the prices will continue skyrocketing --and it'll start bringing out the 50% of people who normally don't show up to the polls. In either case, they lose. And they've been harping on this issue for 8 years now. The thing is, when I say there "there can't ever be" a Republican plan for healthcare, that's not just my opinion. The Republicans spent 8 years blasting Obamacare and they spend billions on think-tanks and policy institutes. You know what they came up with during that time? What they were ready to enact after they finally got elected to the White House, Senate majority, and House majority? That's right, not a goddamn thing. Over the past few months, they've scraped together a cobbled hodgepodge of tax-breaks and nothing else.
Trumpcare is basically a full admission that they're going to choose to side with the donors, which is pretty funny coming from Donald "Everyone else let donors get away with murder, but I won't!" Trump. What will his voters do when they actually understand how screwed they are? It's why House Republicans are so torn on voting for the bill, because they know they're going to get skewered either way --the far Right extremists that they've been cultivating in their Red districts will hate them if they don't repeal Obamacare (beyond which, Trump will look incredibly weak), but if they do pass it and it destroys people's lives, people will vote them out of office.
There's no win here, because there's no "traditionally conservative" solution to this problem. There is, however, a socialist solution, the one pushed for by Bernie. I'm eagerly awaiting that policy battle following whichever crater Trump leaves behind on this issue.