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House Speaker Paul Ryan passes a waving tourist as he walks from the House Chamber to his office on Capitol Hill in Washington on Friday, as the House nears a vote on their health care overhaul. The smile did not last. Image Credit: AP

Washington: President Donald Trump ignites a lot of fights, but his failure to repeal the Affordable Care Act, the biggest defeat in his short time in the White House, was the result of something else: a long-running Republican civil war that humbled a generation of party leaders before he ever came to Washington.

A precedent-flouting president who believes that Washington’s usual rules do not apply to him, Trump finds himself shackled by them.

In stopping the repeal of President Barack Obama’s proudest legacy — the Republican Party’s professed priority for the last seven years — from even coming to a vote, the rebellious far-right-wing out-rebelled Trump, taking on and defeating the party establishment with which it has long been at war and which he now leads.

Like every one else who has tried to rule a fissured and fractious party, Trump now faces a wrenching choice: retrenchment or realignment.

Does he cede power to the anti-establishment wing of his party? Or does he seek other pathways to successful governing by throwing away the partisan playbook and courting a coalition with the Democrats, whom he has improbably blamed for his party’s shortcomings?

“It’s really a problem in our own party, and that’s something he’ll need to deal with moving forward,” said Rep. Tom Cole of Oklahoma, an ally of the centre-right Tuesday Group, which stuck with Trump in the health-care fight and earned the president’s praise in the hours after the bill’s defeat.

“I think he did a lot — he met with dozens and dozens of members and made a lot of accommodations — but in the end, there’s a group of people in this party who just won’t say yes,” Cole said. “At some point, I think that means looking beyond our conference. The president is a dealmaker, and Ronald Reagan cut some of his most important deals with Democrats.”

Taking one for the team

Trump is not there yet. Before becoming a presidential candidate, he seemed to have little fixed ideology. But as president, he has operated from the standard-issue Republican playbook, embracing many of the positions of Speaker Paul Ryan and the party establishment. While he is angry and thirsty for revenge, he seems determined to swallow the loss in hopes of marshaling enough Republican support to pass spending bills, an as-yet unformed tax overhaul and a $1 trillion (Dh3.6 trillion) infrastructure package — legislation that could attract considerable Democratic support but has the potential to split the party.

On Friday evening, a somewhat shell-shocked president retreated to the White House residence to grieve and assign blame. In a search for scapegoats, he asked his advisers repeatedly: Whose fault was this?

Increasingly, that blame has fallen on Reince Priebus, the White House chief of staff, who coordinated initial legislative strategy on the health-care bill with Ryan, his close friend and a fellow Wisconsinite, according to three people briefed on the president’s recent discussions.

Despite the public displays of unity with the speaker, Trump and his team regret outsourcing so much of the early drafting to Ryan. One aide compared doing that to a developer’s staking everything on obtaining a property without conducting a thorough inspection. And they were stunned by his inability to master the politics of his own conference.

Trump, an image-obsessed developer with a lifelong indifference toward the mechanics of governance, made a game effort to negotiate with members of the far-right Freedom Caucus, even if it seemed to some members of that group, who spoke on the condition of anonymity, that he did not have the greatest grasp of health care policy or legislative procedure.

He told one adviser late Friday that his loss — a legislative debacle foreshadowed by the intraparty fight that led to the 2013 government shutdown — was a minor bump in the road and that the White House would recover.

All is well’

In an interview with The New York Times on Friday, Trump said the administration was “rocking”. The problem, he suggested, was divisions among Republicans.

There are “a lot of players, a lot of players with a very different mindset,” Trump said. “You have liberals, even within the Republican Party. You have the conservative players.”

But his advisers were more realistic. Trump’s chief strategist, Stephen Bannon, according to people familiar with White House discussions, described the president’s decision to withdraw the health-care bill in the face of its almost-certain defeat as a flat-out failure that could inflict serious damage on this presidency — even if Bannon believes Congress, not Trump, deserves much of the blame.

Bannon and the president’s more soft-spoken legislative affairs director, Marc Short, pushed Trump hard to insist on a public vote, as a way to identify, shame and pressure “no” voters who were killing their best chance to unravel the health care law.

Many on Trump’s team disengaged from the process even as he dug in. Gary D. Cohn, Trump’s top economic adviser, had originally been tasked with playing a large role in shepherding the legislation from the White House side. But Cohn had grown leery of the bill, and the White House recognised that Cohn, a former president of Goldman Sachs and a Democrat, was not a good messenger to deal with recalcitrant conservatives.

Trump’s son-in-law, Jared Kushner, a key adviser, had said for weeks that he thought supporting the bill was a mistake, according to two people who spoke with him. But he was on a family skiing trip in Aspen, Colorado, last week, and did not return to Washington until Friday — much to the annoyance of Trump, who thought he should have been in Washington the whole week, according to two Republicans close to the White House.

But Trump brushed aside those concerns in the last few days and embraced the conventional role as leader of his party. He has one speed when he decides to shift to sales mode, aides said, and he had trouble modulating his tone, issuing cringe-inducing superlatives like “wonderful” to describe an ungainly bill his aides described as anything but.

Keeping to the script

After it was all over, the president dutifully blamed the Democrats, a party out of power and largely leaderless, after turning his back on their offers to negotiate on a bipartisan package that would have addressed shortcomings in the Affordable Care Act while preserving its core protections for poor and working-class patients.

Aides advised him the argument was nonsensical, according to a person with knowledge of the interaction.

Former Speaker Newt Gingrich, a Trump supporter, said after the health bill was pulled that he was “getting some deja vu right now.”

“Do you think Donald J. Trump goes home tonight, shrugs and says, ‘This is what winning looks like’?” Gingrich added. “No! But this is where the Republican Party is right now, and it’s been this way for years.”

But Trump put on his best face Saturday morning. “ObamaCare will explode and we will all get together and piece together a great health-care plan for THE PEOPLE,” he said on Twitter. “Do not worry!”