Trump's election signaled a shift from moderate class warfare under Obama to aggressive class warfare under Trump.
The house health care bill is part of this shift.
Big tax cuts for the rich paid for by imposing higher net costs on the bottom two thirds of the population.
http://www.cbpp.org/research/federal-tax/house-health-bill-tax-cuts-for-wealthy-insurers-and-drug-companies-paid-for-by