US Republicans will attack individual provisions of health reform law as repeal is unlikely

BMJ 2015; 350 doi: (Published 06 January 2015) Cite this as: BMJ 2015;350:h58
  1. Michael McCarthy
  1. 1Seattle

Republicans assume control of the US Senate and the House of Representatives on Tuesday 6 January and have vowed to dismantle President Barack Obama’s signature legislative accomplishment, the 2010 Affordable Care Act.

However, although Republicans hold large majorities in both chambers—234 to 201 in the House and 54 to 46 in the Senate—the party is still far short of the 67 votes in the Senate that it would need to over-ride the president’s veto, which any legislation would surely face if it seriously undermined the law.

In a recent interview on National Public Radio, Obama noted that he had made little use of the veto pen in the previous six years of his administration, largely because the Democratic controlled Senate had blocked legislation that he opposed. “Now I suspect there are going to be some times where I’ve got …

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