Obama's and Trump's positions on healthcare in the elections of 2008 and 2016 respectively weren't difficult to discern. While the resulting legislation from the Democrats in 2009 and Republicans today are both far from what was promised in the campaigns, it would be foolish to think of that as any surprise. Thus I look at it from the angle that elections have consequences. From how the media described many of the Trump voters as being unemployed and under-employed workers in the rust belt, I'll take it as they're getting what they asked for if this medical insurance legislation eventually becomes law. And if these people regain full employment, it should work out well for them either way.
The jobs promised to the unemployed workers in the rust belt is just about as realistic as the free candy promised to the little kids in the back of the pedophile's van.
Both will not get what's promised. Both will be fucked.