All those GOP politicians were speaking and acting through their own destructive rhetoric, out of touch with reality. Since when did they really care about "campaign promises" or Republican conservative theory or policy?  Hint - clearly they don't.  They merely wanted to do away with the ACA out of political partisan spite that led them to stonewall the original legislation in the first place (after they were allowed 160 amendments - many that damaged the bill and now need to be fixed). This isn't principled leadership.  For the 8 years they tried to repeal, knowing full well it would be vetoed , they had no interest in developing a "better" plan or insure access to health care for all to replace the ACA.  All tRump did was all he ever does - bluster, complain, promise what he can't deliver, lie, bully, threaten.... anything but lead or govern or take responsibility.  Funny too, McConnell's and Rand's Kentucky is one of states with the biggest dependence on federal money per capita.