That's because you don't sit in the Oval Office.
There are three parties (not just two) interested in making a deal and to save face on healthcare reform. There has never been a sweeter deal, unless you hate Obama so much that you're only interested in spiting him because Republicans have called the ACA "Obamacare". Which wouldn't surprise me. Trump's entire presidency has been a backward look at Obama, who Trump clearly feels inferior to and needs to spite in order to level of the playing field.