First of all, the voters made it clear they wanted repeal, not reform. Secondly, the ACA and its proposed replacement have nothing to do with health care and everything to do with health insurance.
Obviously, Trump, Ryan and the rest of the phony conservatives don't understand any of this, or they pretend they don't. They figure we peons won't know and they can bamboozle us with a crappy bill, call it "repeal" and we won't know the difference.
Unfortunately, thanks to the dumbing down of America and the never-wavering worship of Trump fans, they may be right.