Sorry, we have divergent memory.  The ACA was passed on a pretty strict party line vote with democratic majorities carrying the day.  I do not recall compromises for the republicans.  The democrats on the other hand bend over backward to keep the medical and insurance industries totally happy.  The industries supported it because they were actually going to make more money.   Whatever Trump proposes or wants is irrelevant to these present day demonstrations of how our health care system fails simply because his actions have not yet been felt.  Rather than make this partisan nonsense, it is better to focus on getting an effective single-payer program.  When the dems had the majorities to make the ACA they could have moved in that direction but to make the industry happy they did not.  Now, we the people without regard to parties must make it happen.