The president said that any Republican senator who remains opposed to debating the Senate bill is signaling to their constituents that they are simply "fine with Obamacare". Four senators announced they'd oppose the Better Care Reconciliation Act, and that was that.
The measure appeared to be similar to a 2015 Senate-passed bill that President Obama vetoed that would have repealed Obamacare with a two-year delay to find a replacement plan.
Hosting Republicans at the White House to talk about the health care proposal that is near death, Trump tried to humiliate Heller in full view of national television cameras and his fellow Republicans.
What concessions could Democrats offer to bring Republicans to the table?
What Trump's "plan" would do, of course, is to force insurance companies to flee the exchanges and leave, according to the CBO, approximately 32 million Americans without health insurance. They include the law's roster of Essential Health Benefits that all plans must cover, including hospitalization, mental health and substance abuse treatment, maternity care and prescriptions. Even among Republicans, only about a quarter favor an approach that only has the backing of Republican lawmakers.
Sen. Susan Collins, Maine, called over the weekend for engaging with Democrats.
"This was the one we were worried about", Trump said, gesturing to Heller.
An easy fix that both parties might support is a reinsurance program to help insurers with a large number of sicker, high-cost plan members. A bill by Carper and Sen. Tim Kaine, D-Va., would also create a reinsurance program.
Part of the trouble on healthcare stems from the factions within the Republican caucus of 52 senators, which provides the GOP's razor-thin margin in the chamber.
"[When] you've got people who flip on a vote that is so important to not just the conservative base but the entire Republican base, this one vote can set up an election".
But after doing little over the past few weeks to win senators' support for the controversial legislation, Trump is now staking his reputation on getting them to cut a deal.
Thursday's score is the latest step in the Republicans' quest to dismantle Obamacare.
"It could have been used on a tax package that has been delayed up until now", Reynolds said.
So why is a CBO score such an anticipated and quoted report, especially when it comes to controversial legislation?
"Ultimately I think the House [of Representatives] is certainly at risk next year for Republicans", said University of Virginia political analyst Kyle Kondik, "particularly if the president's approval rating stays at 40 percent or below, because historically speaking, presidents with poor approval have suffered significant losses in the House". You weren't there. But you're gonna be.
Republicans are using special procedures for the health care bill that bar Democrats from using a filibuster to kill it. Filibusters require 60 votes to end.
He said he hoped that Monday night was a turning point after McConnell lost two votes on his bill, but Republicans instead doubled down on their efforts.
CBO also said that repealing many provisions of the Affordable Care Act, as Obamacare is formally known, would decrease federal deficits by $473 billion from 2017 through 2026.
Indeed, 59 percent said they preferred leaving "Obamacare" in place over its outright repeal.
Maybe so, but too bad.