This is not a blow to Trump as your article proclaims..."

Really?  During Trumps 2016 campaign, the candidate repeatedly proclaimed he would "repeal and replace Obamacare," in speech after speech.  (Source:abcnews.go.com/.../donald-trump-promises-repeal-replace-obamaca) 

How can it NOT be a blow to Trump?  Sure, his team may blame others, but, badly needing a clear victory--any victory--Trump's on his knees after this one.