Presidents campaign in poetry and govern in prose, as the saying goes. In Donald Trump's case, his pitch was hardly poetic. But it was easy to grasp. Mr Trump would make America great again through sheer force of will.
This included abolishing Obamacare and replacing it with a healthcare system that would be cheaper, better and would cover every American. It turns out that in practice "Trumpcare" will do nearly the opposite. To judge by this badly drafted bill, Mr Trump is governing in gobbledegook. Either the legislation will fail in Congress, which would be a political disaster for Mr Trump, or it will pass, which would be a catastrophe.
The irony is that Mr Trump already knows this. Having spent a lifetime naming things after himself, he has made it clear that he does not want his name associated with this healthcare bill. Anything but Trumpcare.
Yet that is the right name for the bill. It is a personification of Mr Trump's brand of politics. The bill's most important feature is that it abolishes a law that is popularly named after his predecessor, Barack Obama. Opposition to Obamacare's actual contents plays little part in the desire to replace it.
Indeed, Mr Obama's Affordable Care Act borrowed heavily from a 1990s plan created by the rightwing Heritage Foundation as a market-based alternative to "Hillarycare", the failed bill devised by then first lady, Hillary Clinton. Likewise, Obamacare was slightly to the right of the bill that Mitt Romney, a former Republican presidential candidate, enacted as governor of Massachusetts.
Since Obamacare drew on conservative thought, it is no wonder Republicans have had difficulty coming up with a viable alternative. Yet having described Obamacare as a jobs-killing, socialist takeover of the US economy for the past seven years, they had to try. Their bluff has been called.
The bill's second Trumpian element is its upwardly redistributive effects. It would cut taxes on the top 2 per cent of Americans by $885bn over the next decade and cut spending on the poorest Americans by almost exactly the same amount. As a result, there would be 24m fewer Americans with health insurance by 2026 according to the non-partisan Congressional Budget Office. A disproportionate share of those losing their insurance would be older, white Americans who voted Trump. This too is a classic Trumpian bait and switch. He promised something radically different to what he is delivering. The elites get a tax cut. The poor will lose protection.