If all else fails, in 2018 LOTS of people are going to lose their health insurance and Republicans are going to be holding the bag. Plenty of Trump supporters don't even know "ObamaCare" equals ACA. That is going to be an existential shock, when prices shoot up, and insurance reverts back to crappy or unavailable. Especially when California keeps "Covered California" but red states opt to get rid of it. (That is a serious Republican replacement plan.)

Likewise if Ryan gets his way and screws with Social Security and/or MediCare. All those Rust Belt Trump voters will figure out something has gone very wrong when their checks get smaller or disappear. It's real hard to keep supporting the con-man when your wallet gets drained. Hard to give that an "alternate fact" explanation.