In accord with the CBO report, 22 million  Americans would lose coverage, and many of those fortunate enough to retain it would end up with insurance that costs more and covers less.

 Allowing states to eliminate minimum health coverage standards (essential health benefits) and permitting annual and lifetime limits on coverage means that those with preexisting conditions would wind up paying more out of their own pockets, even if, in the unlikely event, they could buy coverage.

Trumpcare would increase deductibles, make insurance skimpier and destabilize markets.  Average premiums would go down largely because the insurance they can pay for would become this side of useless.

Medicaid cuts shoot right by Obamacare and head toward Lyndon Johnson's legislation of 1965. Of Americans losing coverage, 15 million fewer will have Medicaid coverage--and likely continue to drop after the ten year period.

 In some areas of the country, defunding of Planned Parenthood would result in loss of access to heath care, since there would be no viable alternative. And, cuts to Planned Parenthood would result in thousands of "additional births,"  stretching available funds for additional maternity and pediatric care.

Trump's sales pitch is handicapped, a bit, in that he may feel that he has to underplay the greatest benefits from Trumpcare--tax cuts, through elimination of the Obamacare taxes on higher incomes, including investment incomes.

 Handicapped, because these tax cuts are enabled by the cuts in coverage on the poor and middle classes.  And, too, following up these tax cuts for the rich, with another tax cut program for the rich is something that, ordinarily*, would need to be sneaked into town (*although, this really holds only for the pre-Trump era).

So what is a poor Republican to do?  Bad mouthing the CBO has been tried with limited success. There is some urgency: they need a win, repeal and replace.  In the short term, premiums with go up ( up to 20 percent next year) and 15 million fewer Americans will have coverage next year, an election year.  The strategy will be trickery and deceit, of which McConnell has a bountiful supply.

Even then, it's an open question as to whether that base will finally turn on Trump, or will simply and summarily reject Mueller's findings of fact as "fake news." Let's face it, they're fully invested in this clown, emotionally and otherwise. If all the stuff that came out during the course of last year's election campaign failed to shake their faith in him, e.g., the "Access Hollywood" tape, what will?

It's not enough for us Democrats and progressives to simply harrumph in unison with a now-indignant mainstream media. We need to reach out to each other and organize ourselves, both politically and in solidarity with one another, and gird our loins in anticipation that the present situation is likely to get much uglier, before things finally start to improve. Our own resolve needs to remain steadfast.

Basically, he's a giant id upholstered in an orange human suit, who thrives on chaos.