Party discipline wins, President Trump wins, Speaker Ryan wins, Republicans win, most rich people win, millions of Americans lose. In a remarkable display of party unity, House Republicans singlehandedly passed a Heath Care Bill with no democratic support.
Thus it would seem the Democrats are the losers. But in the bigger analysis, it was the American people who lost. Well, most Americans and American ideals. A few people at the top of the economic ladder do get big tax cuts if this becomes law.