Now, Ryan — still the speaker — has pushed now-President Donald Trump to believe his health-care legislation, the American Health Care Act, would repeal and replace Obamacare, when it does not repeal Obamacare. Ryan has also, according to Trump ally Sen. Rand Paul (R-Ky.), misled President Trump into believing that Ryan's bill can pass Congress. Paul and others believe the bill is dead on arrival in the U.S. Senate, since a number of GOP senators have come out against it, and there are serious questions about whether it can pass the House.

This is the first major initiative that Trump has worked on with Ryan — and the fact it is going so poorly calls into question whether Speaker Ryan, the GOP’s failed 2012 vice presidential nominee who barely supported Trump at all in 2016, really understands how Trump won and how to win in general.