It has been widely reported that Trump, in response to policy concerns expressed by members of the Freedom Caucus, told them not to worry about “little sh__” and to focus on the big picture. It is safe to assume that the big picture is Trump’s image as the supreme maker of deals and his approval ratings.
That is the problem with Trump in a nutshell. He doesn’t care about the American people and whether they can afford health insurance. He doesn’t even care about his own party. The only thing that motivates him is the desire to be viewed as “the man.”