The most recent congressional Republican health care reform effort was dealt a serious setback on July 27, when legislation to simply repeal the Affordable Care Act was defeated in the Senate, 49-51. He tweeted, "Can you believe that Mitch McConnell, who has screamed Repeal & Replace for 7 years, couldn't get it done". In a speech at the Florence Rotary Club in Kentucky, McConnell called Trump's legislative expectations "excessive", citing his lack of government experience.
On Monday, McConnell told constituents in his home state of Kentucky, "Our new president had, of course, not been in this line of work before".
On his McConnell criticism: "I said, Mitch, get to work and let's get it done".
The Senate rejected three attempts by McConnell last month to approve legislation annulling and rewriting much of President Barack Obama's 2010 health care law. They figure, with some reason, that they'll have careers or legacies long after Trump has left the White House.
The White House also confirmed earlier press reports that the President and McConnell had spoken by telephone on Wednesday before Mr. Trump first tweeted his displeasure with the Senate Majority Leader.
McConnell described the failure as "a disappointing moment" and said it's "time to move on". As recently as Tuesday evening, Mr. Trump was deploying his Twitter account for a cause Mr. McConnell cherishes, endorsing Senator Luther Strange, Republican of Alabama, a week before his Republican primary in a special election.
The president has failed to notch up a major legislative win since taking office in January, although Republicans control both the Senate and House of Representatives. "You can see the bus coming", said Graham, according to Politico.
Trump is the one who built those unrealistic Obamacare repeal expectations. "I think it would be helpful if the president was a little more on message".
Trump responded on Wednesday by putting the blame on McConnell. Now, it would be one thing if Trump's poll numbers were high and he was helping to enact a GOP agenda. As a candidate, he promised to "immediately" repeal and replace Obamacare.
All of this is complicated by the fact that the unelected party infrastructure is aligning itself more with Trump.
GOP Senator Lindsey Graham, however, conceded that President Trump's impatience was a least partly warranted.