The House’s failure on Friday to even vote on a Republican bill to repeal The Affordable Care Act — something party leaders promised for seven years and President Trump campaigned on — was a huge defeat for Trump and the GOP, in a number of ways.
It showed that Republicans — now in control of the House, the Senate and the presidency — couldn’t band together on a major priority. It suggests that the divides among Republicans, a theme of the Obama years, remain a problem for the party. In fact, those divides could be even wider in the Trump era: In the health care debate, not only did the deeply conservative House Freedom Caucus break with party leadership, as it often has (arguing the legislation was not conservative enough), but a bloc of more centrist members emerged from the other side of the political spectrum, arguing that the bill was too conservative. And Trump, who has cast himself as a master negotiator, couldn’t get fellow Republicans behind him, making him look ineffectual in comparison to his three predecessors as president, who all got their first legislative priority through Congress in their first year in office.1
I think the GOP and Trump will have a much easier time passing tax reform/tax cuts. Giving away money is much easier than taking away people's stuff. The fact that it'll cause budget problems down the road will be the future Democrat's problem.