When President Trump first took office, many conservatives’ greatest fear was that he would be too quick to cut deals with the Democrats. He had previously been a Democrat and had staked out heterodox positions on everything from spending to entitlement reform, the national debt, the minimum wage, trade and health care. During the 2016 campaign, Trump even endorsed universal health care, declaring, “This is an un-Republican thing for me to say . . . I am going to take care of everybody . . . [and] the government’s gonna pay for it.” Conservatives were aghast.