Republican moderates in the Senate killed ObamaCare repeal. Many conservatives, who are anxious to get big policy wins on the scoreboard this year, are beginning to wonder if the Republican majority will ever get its act together.

While Republican moderates constantly tried to extort more money from leadership to get their votes, conservatives like Sens. Ted Cruz Rafael (Ted) Edward CruzSenate Republicans face tough decision on replacing Ginsburg Cruz: Trump should nominate a Supreme Court justice next week Renewed focus on Trump's Supreme Court list after Ginsburg's death MORE (R-Texas), Mike Lee Michael (Mike) Shumway LeeMcConnell shores up GOP support for coronavirus package McConnell tries to unify GOP Davis: The Hall of Shame for GOP senators who remain silent on Donald Trump MORE (R-Utah), Rand Paul Randal (Rand) Howard PaulSecond GOP senator to quarantine after exposure to coronavirus GOP senator to quarantine after coronavirus exposure The Hill's Morning Report - Sponsored by National Industries for the Blind - Trump seeks to flip 'Rage' narrative; Dems block COVID-19 bill MORE (R-Ky.) made concession after concession, finally getting only a watered down version of the Consumer Freedom Option, which would let Americans on the nongroup market opt-out of ObamaCare.

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The conservative senators who have been the target of so much criticism for simply believing that Republicans should do what they said they were going to do came through last week. The moderates, who never fail to let down conservatives, once again proved themselves to be utterly worthless at passing meaningful legislation.

But as conservatives in the House and Senate did their best to find a path forward on ObamaCare repeal, we learned this was never really about repeal; it was only a rebranding of ObamaCare. The House Freedom Caucus was harshly criticized by establishment Republicans, but without their efforts to find a compromise, the House’s version of the bill might never have passed. In the Senate, Sens. Cruz, Lee, and Paul faced similar criticism.

NEW POLL: Most Republicans disapprove of GOP's handling of healthcare https://t.co/sjMUmYXWSd pic.twitter.com/mjNWgDeA6F — The Hill (@thehill) August 3, 2017

At the beginning of the year, the one thing Republicans presumably agreed on was the 2015 ObamaCare repeal bill. This bill went through Congress with only five Republican votes against it, including Sen. Susan Collins Susan Margaret CollinsSenate Republicans face tough decision on replacing Ginsburg Democratic senator calls for eliminating filibuster, expanding Supreme Court if GOP fills vacancy What Senate Republicans have said about election-year Supreme Court vacancies MORE (R-Maine).

Yet, last week, we watched six senators — Lamar Alexander Andrew (Lamar) Lamar AlexanderChamber of Commerce endorses McSally for reelection Trump health officials grilled over reports of politics in COVID-19 response Now is the time to renew our focus on students and their futures MORE (R-Tenn.), Shelley Moore Capito Shelley Wellons Moore CapitoSecond GOP senator to quarantine after exposure to coronavirus GOP senator to quarantine after coronavirus exposure Hillicon Valley: Zuckerberg acknowledges failure to take down Kenosha military group despite warnings | Election officials push back against concerns over mail-in voting, drop boxes MORE (R-W.Va.), Dean Heller Dean Arthur HellerOn The Trail: Democrats plan to hammer Trump on Social Security, Medicare Lobbying World Democrats spend big to put Senate in play MORE (R-Nev.), John McCain John Sidney McCainMcSally says current Senate should vote on Trump nominee Say what you will about the presidential candidates, as long as it isn't 'They're too old' The electoral reality that the media ignores MORE (R-Ariz.), Lisa Murkowski Lisa Ann MurkowskiSenate Republicans face tough decision on replacing Ginsburg What Senate Republicans have said about election-year Supreme Court vacancies McConnell says Trump nominee to replace Ginsburg will get Senate vote MORE (R-Alaska), and Rob Portman Robert (Rob) Jones PortmanRomney undecided on authorizing subpoenas for GOP Obama-era probes Congress needs to prioritize government digital service delivery House passes B bill to boost Postal Service MORE (R-Ohio) — who voted for virtually the exact same bill approximately 18 months ago switch their votes and side with Democrats to keep ObamaCare in place. Unsurprisingly, Sen. Collins also voted with Democrats.

The entire ObamaCare “repeal and replace” effort was frustrating from the very beginning. It started with a budget resolution with a nearly $8 trillion budget deficit over 10 years. The House version of the “repeal and replace” bill, the American Health Care Act, fell short of nearly a decade’s worth of promises to actually repeal ObamaCare. The Senate’s version, the Better Care Reconciliation Act, was unquestionably worse, truly an amazing feat, because it largely kept ObamaCare in place.

Ryan rips Senate GOP for healthcare failure: The House is the only functioning branch of government https://t.co/0k8vkGGtim pic.twitter.com/nSe7oDE8gl — The Hill (@thehill) July 29, 2017

While the conservatives like Sens. Cruz, Lee, and Paul got to yes, moderates, none of whom are facing reelection next year, still refused to support a “skinny repeal” amendment that mostly kept ObamaCare on the books. Still, it was the conservatives who constantly faced criticism.

Some were interested only in the tax portion of the bill, which was important, or Medicaid modernization, a truly groundbreaking set of reforms, although some of the changes could be easily undermined by a future Congress and president. Lost the in the equation was good health insurance policy that would truly offer freedom for Americans who purchase coverage on the nongroup market.

The failure of Senate Republicans to follow through on their promises to repeal ObamaCare is frustrating. Congressional Republicans are entering the August recess with no significant legislative victories.

Whether there is a path forward on doing anything to address the serious problems with ObamaCare is a question that no one can answer. But with fundamental tax reform next up on the agenda, there is no margin for error.

The Senate Republican Conference absolutely has to get its act together. If failure persists, conservative activists — who pound the pavement and make calls for Republican candidates -- may eventually begin asking themselves, “What good is a Republican majority that can’t get anything done?”

Adam Brandon is the president of FreedomWorks, an organization dedicated to helping activists fight for lower taxes, less government, and more freedom. Follow him on Twitter @adam_brandon.

The views expressed by contributors are their own and not the views of The Hill.