President Donald Trump’s health care proposal to replace Obamacare struggled to gain support Thursday ― and opponents couldn’t be happier. Trump’s proposed repeal of the Affordable Care Act could result in 24 million people losing health coverage over the next decade, according to the nonpartisan Congressional Budget Office.

There was a time when that would have been unacceptable to Trump. His 2000 book, The America We Deserve, serves as a reminder that Trump has seemingly ignored his stated mission to insure all Americans, as a former aide to Presidents Barack Obama and Bill Clinton pointed out on Twitter Thursday.