For the President to pass a new bill that makes Democrats happy is a huge defeat.
Except that Trump isn't really a Republican and has supported single payer health care systems. He is also apparently anti free trade, supports government intervention in business and spending on infrastructure projects.
It is now completely clear (if it wasn't before) that he just talks a load of crap and doesn't know anything about policy. However, there were points during the campaign and transition where people suggested that he represented a new way in politics - conservative values mixed with more left wing economic policy - the new way for blue collar workers who hate 'identity politics'.
(I think UKIP were supposed to be targeting the same demographic, back when it looked like they could double their MPs and be the new force in the north...)