How Washington Handed Trump
His First Defeat

Trump Oval Office

President Trump and his advisers ought to study the collapse of the American Health Care Act. It’s a case study in how Beltway institutions—the so-called Swamp Trump pledged to drain—can herd a president and his party toward unpopular legislation and political defeat.

Begin with this question: Why the rush to repeal and replace Obamacare? Yes, repealing the law has been a Republican priority since 2010. But Democrats had spent decades laying the groundwork for universal health care before finding themselves in control of the government in 2009.