Trump’s health care bill withdrawn from Congress

President Donald Trump suffered a stunning political setback on Friday in a Congress controlled by his own party when Republican leaders pulled legislation to overhaul the US healthcare system, a major 2016 election campaign promise of the president and his allies.

House of Representatives leaders yanked the bill after a rebellion by Republican moderates and the party's most conservative lawmakers left them short of votes, ensuring that Trump's first major legislative initiative since taking office on January 20 ended in failure. Democrats were unified against it.

House Republicans had planned a vote on the measure after Trump late on Thursday cut off negotiations with Republicans who had balked at the plan and issued an ultimatum to vote on Friday, win or lose. But desperate lobbying by the White House and Republican House Speaker Paul Ryan was unable to round up the 216 votes needed for passage.

"We learned a lot about loyalty. We learned a lot about the vote-getting process," Trump told reporters at the White House, although he sought to shift the blame to the Democrats even though his party controls the White House, the House and the Senate.

With Friday's legislative collapse, Democratic former President Barack Obama's signature domestic policy achievement, the 2010 Affordable Care Act – known as Obamacare – remains in place despite seven years of Republican promises to dismantle it.

The healthcare failure called into question not only Trump's ability to get other key parts of his agenda, including tax cuts and a boost in infrastructure spending, through Congress, but the Republican Party's capacity to govern effectively.

Neither Trump nor Ryan indicated any plans to try to tackle healthcare legislation again anytime soon. Trump said he would turn his attention to getting "big tax cuts" through Congress, another tricky proposition.