Trying to nail down Trumps commitment to anything is an exercise in futility; you'd do better on betting the path of wet flatulence in a hot frying pan. That the R's have had 8 years to come up with anything better and utterly failed is a testament to the lack of governance ability inherent in that idiology (sic). The utter ironies of States like Kentucky regarding just healthcare make a rational mind stagger - one of, if not the the top, States benefiting from ACA uptake  and yet having the single most powerful anti ACA senator in Mitch McConnell is stunning.  And then there is the rest of the ruling regime not even attempting the basics of reigning in costs - no mention is made of simple steps to reduce drug costs, make insurance markets more viable nor choke off service needs at the roots with a basically more healthy population.  Instead, Congress is hell bent on passing "Tort Reform" which has always been known to be a red herring and any benefits won't reach the consumers - Us.