Trump waited until 2020 to sign a bunch of fake healthcare EOs that had little chance of being implemented. What was he doing the previous 3 years on healthcare

Trump waited until 2020 to sign a bunch of fake healthcare EOs that had little chance of being implemented. What was he doing the previous 3 years on healthcare beyond trying to strip all of it away??? He only did this to distract from COVID and even when he wrote the EOs everyone said they were going to get jammed up in the courts forever. I'm not going to play pretend about things trump really truly wanted to do but waited 3.5 years until the middle of a pandemic, and then never implemented.