For decades, the first 100 days of a new presidency have been used to gauge a commander-in-chief's power and effectiveness. It's that rare time when a president should be able to exert considerable influence having just swept into office.
By virtually all accounts, President Donald Trump's first 100 days in office have been mired by missteps, miscalculations and missed opportunities—other than securing Justice Neil Gorsuch's confirmation to the Supreme Court, where he will have numerous opportunities to interpret healthcare law. At the same time, the president has set the wheels in motion to fulfill major campaign promises of easing the regulatory burden and, particularly with healthcare, giving states more flexibility in how they fashion health services.
Trump's pledge to repeal and replace the Affordable Care Act by April 29—day 100—dominated the political landscape and eclipsed virtually all other issues on the healthcare agenda. The president and GOP leadership failed twice to bring their replacement plan, the American Health Care Act, to a vote in the House, the latest setback occurring late last week when it was clear there were not enough votes.