Donald Trump is finally making real, if mixed, progress on his longtime promise to repeal and replace Obamacare. Unfortunately for the president, the draft legislation he is pushing is disliked by just about everyone in Washington, with the exception of House Speaker Paul Ryan, who is practically delirious with excitement. Moderate Republicans are worried about the plan’s cuts to Medicaid; conservatives from Paul Ryan to the fever swamps of Breitbart are in full revolt over the its tax credits, which they view as too generous; and just about everybody else is rightly concerned that the elimination of the Obamacare subsidies and other price controls put millions of people at risk of losing their insurance coverage.

Nevertheless, Trump is charging ahead trying to whip support for the House Republican bill, unimaginatively titled the American Health Care Act. During a closed-door meeting with Republicans on Tuesday night, he warned that the party would suffer a “bloodbath” in the 2018 midterm elections if they couldn’t get their act together and deliver an Obamacare alternative. The charm offensive continued on Wednesday, Politico reported, when Trump met with a group of conservative activists, all of whom had all criticized Ryan’s bill, to sell them on the bill. Representatives from The Heritage Foundation, Club for Growth, Tea Party Patriots and Americans for Prosperity were all told that the administration was open to making changes to the bill, according to sources with knowledge of the meeting.

Still, it will likely take more than mere cosmetic changes to bring staunch conservatives on board. And any revisions that make the bill less generous will further imperil support from moderates who are already panicked that deep cuts to Medicaid could prove an electoral disaster. Luckily, Trump reportedly has an exit strategy. Per Politico:

In a private Oval Office meeting with conservative activists Wednesday, President Donald Trump sold Paul Ryan's health care bill as strong and necessary. But minutes later, his top aides offered some willingness to consider changing some of the core provisions, even as Trump himself suggested a fallback position—that they could try again in two years, and Obamacare will fail on its own, leaving Democrats to take the blame.

It doesn’t seem like Trump wants that to happen, though it’s always nice to have a backup plan. He has been relentless over the last week in wooing his critics, flying former primary opponent Marco Rubio on Air Force One, dining with Ted Cruz, and enjoying a friendly lunch with Lindsey Graham. But plenty of Republicans on Capitol Hill remain opposed to the speed with which the Trump administration and House leadership are, to borrow the phrase they often lobbed at Democrats for their handling of the Obamacare debate, jamming the A.H.C.A. down their collective throats. “Get it right, don't get it fast,” Senator Tom Cotton wrote in a series of tweets Thursday morning. “GOP shouldn't act like Dems did in O'care. No excuse to release bill Mon night, start voting Wed. With no budget estimate!” The House, he concluded, needed to get the bill in an acceptable condition for the Senate, and in a timeframe not focused on “[the] House leaders’ arbitrary legislative calendar.”

The problem, however, may lie in the fact that the Trump White House has no coherent plan to meet everyone’s needs: at the same time Trump held his Oval Office meeting with conservative activists, where his aides suggested that they were open to changing core provisions of the bill, Kellyanne Conway was attending a meeting with tax cut-crusader Grover Norquist, during which she suggested that the Ryan bill was, as it currently stands, just about finalized. “The time for major input and ideas is over,” a senior advisor told Politico, while a second one seemed open to change: “It’s just a bill.”