You don't have the votes, you don't have the votes.
AHCA failure is a failure for the president, but it's much more a failure for House leadership and Paul Ryan. They had seven years to prepare.
“Republicans streaming out of the House GOP conference meeting on Friday afternoon told reporters that the legislative effort was dead and that leaders were moving on to other agenda items, such as tax reform. During a news conference at the Capitol, House Speaker Paul Ryan attributed the setback to Republicans' newfound status as a governing party. “We're feeling those growing pains today,” the Wisconsin Republican said. “We came up short.” “We're going to be living with Obamacare for the foreseeable future,” he added.”