A President Trump acting more in keeping with his free-floating reflex to take care of people, as expressed in speeches and interviews, would have pushed the health bill to the left. But Trump so far hasn’t followed the logic of his own politics in dealing with Congress.The real obstacle to anything like this happening is that Trump has no clue how to put his populist instincts into action, which leaves him dependent on mainstream Republicans to shape the legislative agenda. He just doesn't have the knowledge or the attention span to really shape the government. And I agree with Lowry that we may end up seeing the whole Trump phenomenon as a road not taken:
His path not taken in January would have been to give an eye-openingly unifying Inaugural Address with less carnage and more kumbaya. Immediately invite Chuck Schumer to the White House and tell him, “Chuck, you’re not leaving this building until we agree on an infrastructure package.” Take the resulting big-spending proposal and dare the GOP leadership to defy him. Pass it with a bipartisan coalition. And invite as many Democratic public works-supporting mayors as possible to the White House signing ceremony.
Then, having staked his flag firmly in the center, he could have tried to mix-and-match his way to congressional coalitions for a heterodox agenda.
The range of possible outcomes of the Trump presidency is still wide. Unexpectedly, one of them is that his most die-hard populist supporters will eventually be able to say that Trumpism, like socialism, hasn’t failed, it’s just never been tried.