[grey-area]

I think he will do what he said he would - repeal and replace. Note that doesn't mean improve, and why would he care if it helps the little people who scurry about beneath his feet. Smoke and mirrors will do and he'll insist it was a great reform package, a great reform, the best healthcare. There will be no meaningful change but maybe some cuts.

Also I'd note you've picked on only one issue, one that is not a priority for him IMO and thus he'll hand over to congress to make a mess of, then put his name to. He cares about healthcare like he cared about Clinton - useful campaign material.

We'll see more far reaching changes in trade, immigration, foreign policy, infrastructure. I expect at least one accidental war, and some massive infrastructure projects which he can put his name to.