Columbia/HCA wound up pleading guilty to 14 felonies, including, among other things, attaching false diagnostic codes to patient files so they could increase how much they charged Medicare. Voters in Florida have heard this story every time Scott has run for office, twice for governor and most recently for U.S. Senate, but according again to the Tampa Bay Times, Scott eked out a victory each time thanks in part to disciplined campaign messaging backed up with $150 million of his own fortune. Two years ago, while he was still governor of Florida, Scott claimed that his office was helping the Trump administration come up with legislation to replace the Affordable Care Act. By singling out Scott specifically, Trump has brought the senator's shady history with Medicare back into the national spotlight.

Scott is like many in the Trump ecosystem—the administration has put multiple people who have antagonistic and compromising backgrounds in charge of various agencies and industries. Trump named Scott Pruitt head of the Environmental Protection Agency, despite Pruitt's suing the EPA more than a dozen times as Oklahoma's attorney general to block Obama-era regulations to protect water and air quality. In all but one of those lawsuits, Pruitt was joined by the same industries that were facing regulation. (Pruitt later resigned after facing numerous ethics investigations into his misuse of public funds, including buying a $43,000 secure phone booth.)

Trump's pick to head the Securities and Exchange Commission, Jay Clayton, made a career out of defending massive banks like Goldman Sachs and Barclays in court and is even married to a Goldman Sachs broker. As Matt Taibbi wrote in Rolling Stone, Clayton has been "a devoted legal slave to the usual Wall Street monsters over the years," and now is responsible for monitoring them. Or look at Joseph Otting, currently comptroller of the currency, a role in the Treasury Department intended to regulate and supervise all national banks. Otting was the head of OneWest Bank when the lender was reprimanded by the Treasury Department in 2011 for failing to oversee thousands of loans to people at risk of losing their homes, and now he's in charge of investigating those same kinds of violations. In fact, Otting co-founded OneWest Bank along with Steve Mnuchin, who is currently Trump's Treasury secretary.

Now, Scott isn't any kind of official appointee, and congressional Republicans are most likely hoping Trump drops health care as a talking point since they don't have any way to move forward with a plan of their own. Trump himself doesn't even believe that the current lawsuit to throw out the ACA will succeed. Health care is, as Trump tweeted, "a great campaign issue," but the president can't even construct a fantasy without tainting it with possible corruption or conflicts of interest.