Obamacare is probably dying at this point:
http://www.npr.org/2017/10/12/540920...s-for-the-poor
These payments shared the cost of the insurance for the very poor between the insurers and the government. Without them the premiums will spike further for those still insured whilst ending insurance for others.
Trump just cares about ending Obamacare more than anything else, whoever suffers, that's why he didn't care what bill was passed so long as one passed. The last one would have removed the obligation to give insurance even for pre-existing conditions, the most popular part of the policy by far, and others ones would have cut Medicaid, the policy for those will still can't pay. Trump supported them all.