Paul Ryan: I don't want to work with Democrats on health care

President Donald Trump during a meeting at the White House. AP

United States president Donald Trump warned conservative Republicans that he may not support them in next year's mid-term elections as tensions continued within the Republican party over last week's failed attempt to repeal and replace Obamacare.

For seven years we heard the argument that the federal government has no place inserting itself between citizens and their health care. And is Trump really likely to move that far away from what congressional leaders in his own party want?

There is no reason that as a wealthy nation we should turn our backs on those less fortunate, the working poor and those unable to work. "Because I want a patient-centered system", he said, referring to Trump's overtures to Democrats. "We believe it will not work out well, but we'll see".

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"If this Republican Congress allows the flawless to be the enemy of the good, I worry we'll push the President into working with the Democrats", he continued. "But at this time, at this time today, there are other things that we have on our priority list that we're moving on to". Top White House staff members typically attend, often as guests of media organizations.

Last week, House Republican leaders, facing a revolt among conservatives and moderates in their ranks, withdrew the legislation from consideration on the House floor in what was widely seen as a major defeat for Trump. "That's such an easy one". Ryan said working with Democrats would not result in conservative solutions.

On Thursday morning, President Donald Trump identified the House Freedom Caucus by name as people who could "hurt the entire Republican agenda".

Some Republicans - including one of the Freedom Caucus' own - are exhausted of the Freedom Caucus and the constant negotiation they require. "Instead of catering to one faction over the other, you have got to look at this to say, what is it that we campaigned on, what did we tell voters we are going to do. It is just too important". They were able to get Obamacare done, the Democrats note.

"I think people got to the point, where they know there's going to be some give and take on this", Weber said.

Those comments landed with a thud on the Senate side.

Members of the conservative House Freedom Caucus, who helped derail the bill, have been talking with some Republican moderate holdouts in an effort to identify changes that could help win their support for the measure. Pat Roberts, R-Kan., said: "No".

Republicans have issued mixed messages on what comes next on health care.

Republicans say they are determined to revisit the topic, and President Donald Trump told senators on Tuesday that he expected lawmakers to reach a deal on healthcare. GOP leaders in Congress and at the White House were trying to take steps to avoid stumbling into a shutdown.

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