Where this goes from here is unknown but Speaker Ryan looks an absolute disaster after having had 8 years to craft a working bill.
The administration is stuck with Ryan for the time being as to have a caucus revolt and remove him would cause market turmoil and roil the admin.
What this portends for Trump's tax cuts and Mexico wall is up in the air-but expect the share market to continue its gyrations after the big drop as the view of the admin as 'neutered' will prevail in the short term until Trump gets a legislative win.
The long term answer to this problem is to primary all centrist RINO's until there is a conservative caucus majority in the House. It will shortly be time for Governor Palin to hit the 2018 campaign trail for true conservatives.