Donald Trump actually complained about getting no support from the Democrats even though no outreach efforts were made towards the Dems and there was zero incentive for any Democrat to vote for legislation with the primary purpose of repudiating the Democrats' signature legislative achievement.
Because the Republicans were trying to push this through with zero support from the Democrats, the Freedom Caucus gained an inflated and undue level of influence.
This is what you get when you're working with half of a government. And don't look for that to change anytime soon. House Speaker Paul Ryan (R-Wis.) said he doesn’t want to work with Democrats on health care legislation.
"I don’t want that to happen. You know why? I want a patient-centered system. I don’t want government running health care. The government shouldn’t tell you what you must do with your life, with your health care. We should give people choices.”
Let's assume Ryan's simplistic characterization of the Democrats has some basis in fact and is not a misguided conflation of liberalism and communism. The Democrats are there, voted in by constituents who presumably support the Democrats' point of view. What Ryan is saying is those constituents do not have a voice in his government. The only ones who get a voice are those who reflect the majority party.
Which I'm pretty sure was not the intent of our nation's founding fathers. This does not reflect a healthy functioning democracy.