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At its core, the law requires most Americans to purchase insurance, a so-called individual mandate that has become one of the principal points of opposition among Republicans and the tea party activists who propelled them to gains last fall. The bill's critics argue the law gave government too large a role in the health care system, will harm Medicare and burden the economy by raising taxes and fees. At the heart of the debate is a dispute over how the overhaul would affect the federal deficit. The Congressional Budget Office reported that the law, once it takes effect, would cut federal budget deficits. But Republicans dispute that, arguing that the forecasts rest on spending cuts to Medicare and other programs that will not materialize. Democrats tried to argue that the policy debate is largely over. Sen. Barbara Mikulski, D-Md., called the Republican repeal effort "one more hollow, symbolic, pander-to-the-masses amendment." "I want to hear their ideas for replacement," she said. Republicans made clear they have plenty of ideas for replacement -- of Democratic senators, if not the health care reform. "Yes, we were unsuccessful today, but we do know where everybody stands," said Sen. Orrin Hatch, R-Utah. "We've made some headway," said Sen. John Thune of South Dakota.
[Associated
Press;
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