In te real world, there are Democrats (increasingly irrelevant),
The Democrats got very substantially more votes than the Republicans in the recent elections. I'm not sure how winning by a fluke of the electoral system makes your opponent "irrelevant".
Oh I know how. You are incapable of discussing politics. You put yourself forward as a conservative, but you're not. You're simply a republican cheerleader.
That aside, the Republicans won, but by a negative margin. Voter turnout wasn't all that high. A *lot* of people have cover under the ACA. Thing is the Republicans much the Democrats really do like being voted into office. It's from their point of view a complete no-go to piss off 5-10% of the electorate when their margin is within those bounds too.
So basically, any forward motion now on anything is a compromise between Republicans and Trump supporters.
That seems unlikely to happen then for a while. With Obama in power the republicans adopted the attitude of never giving an inch, never compromising on anything. That way they got exactly what they wanted which was to stop whatever Obama doing. The trouble is that tactic doesn't work when you're in power and you want to have things rather than merely block things. The republicans are going to have to learn to actually compromise again before they can get anything of substance done.