There's no way to put a happy face on this. The Republican-controlled Senate is not 100 percent populated by frauds and poseurs. But it has enough of them that with only 52 members in the first place, there's no way it can cobble together 50 votes to do anything serious to deal with ObamaCare. Either GOP moderate/liberals like Susan Collins, Lisa Murkowski, Rob Portman and Dean Heller will protect the growing entitlement state, or conservatives like Mike Lee and (sometimes) Ted Cruz will refuse to vote for anything that's not perfect.
And libertarian fraud Rand Paul, who isn't even a real Republican, won't vote for anything that doesn't comport to his utopian vision for America. Thus, he won't vote for anything.