After President Trump ended his predecessor's illegal payments to insurers (ruled unconstitutional by the federal courts because the funds were never appropriated by Congress, as required), industry experts warned that the move would force premiums and costs even higher, as carriers seek to mitigate even bigger financial losses than the ones that have already driven providers out of marketplaces from coast to coast.
The Alexander-Murray compromise would legally allocate those bailout-style funds for two years, in exchange for very minor concessions from Democrats regarding state flexibility and catastrophic plans. Trump appeared initially supportive of the deal but has walked that back a bit -- as Paul Ryan signals that the proposed trade-offs are woefully insufficient to attract House Republican support. The fate of the whole "fix" push, therefore, remains murky.
Comment: Any self-respecting European leader who hasn't bowed down to the diktats of Imperial Amerika would do the same.