Politically the smartest thing that Trump & the Republicans should do is wait a couple of years and let Obamacare collapse on its own. They would then be in a much better position to enact a replacement.

It is most probable that the author has never heard of Matt Anderson of Bulyea, Sask, reeve of the Rural Municipality of McKillop No. 220. Mr. Anderson implemented Medicare at the municipal level. Tommy & the NDP took Anderson's plan provincial. 

When first implemented provincially it was a red hot political item in the legislature and on "main street". Things were so hot that a mob forced Tommy to flee back to Regina and temporarily abandon his summer cabin at White Bear Lake in SE Sask.