“For starters, it means that the health care war is really only just beginning. By all means, the House should press for full repeal. But it has always been the case that the decisive health care election was always going to be in 2012, at the presidential level. The only way the fight for repeal-and-replace can be won decisively is if a Republican presidential candidate runs on an explicit replacement platform, and wins. Then there will be a clear mandate to overturn Obamacare and move the nation’s health-care system toward consumer control and market competition. Republicans in the House and Senate should recognize this, and lay the foundation for the ultimate victory by highlighting the most unpopular and damaging aspects of what was passed.”

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“Voters in Oklahoma and Arizona resoundingly supported ballot initiatives to opt-out of the federal health reform law, while Colorado voters appeared headed to rejecting a similar measure.”

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“But even if the Supremes act to spare us the ObamaCare train wreck, our health-care system is still a train wreck. This is the toughest wicket for Republicans. Happily, a path back to the future exists that just might be politically actionable in a divided Washington. It involves not repealing ObamaCare but adding something to it—an optional federal charter for health insurers.”

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“The legal battle over Obamacare is only beginning, with appeals proceeding all over the country. These cases present the fundamental questions of where government gets its powers, and what the constitutional limits to those powers are.”

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“Democrats who voted for their party’s signature domestic achievement dropped like flies throughout the evening, adding credence to Republicans’ claim that the American public wants them to repeal healthcare reform.”

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“Voting against the health care law may have saved a few moderate House Democrats who managed to survive an overwhelming Republican wave Tuesday night. Reps. Jason Altmire (D-Pa.), Larry Kissell (D-N.C.), Mike McIntyre (D-N.C.) and Mike Ross (D-Ark.) are among the 11 Democrats who opposed the bill and survived in a midterm election in which voters identified health care as their second most important issue.”

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“While it’s impossible to isolate the effects of that one vote given all the factors that contributed to Democratic losses, an initial analysis suggests that those Democrats in competitive districts who voted against the legislation fared a lot better than those who voted for it… 40 percent of the Democratic ‘no’ votes in McCain districts won reelection, whereas just 6 percent of ‘yes’ votes were able to survive.”

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“If anyone ever doubted the extent to which Congressional committees could turn good intentions into a bureaucratic nightmare, they need only to look at PPACA’s premium subsidy provisions and their potential impact on insurance exchanges.”

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“While hospital leaders admit the economy sparked this problem, it says the Obama Health Care Reform Act gave the hospital a one-two punch. While more people may soon get more health coverage, Obama’s plan cuts reimbursement dollars for hospitals at a time administrators say they could use them most.”

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“Many of the House Democrats who cast the deciding votes on health reform are expected to lose on Election Day.
President Obama and Speaker Nancy Pelosi (D-Calif.) needed every vote they could muster to push the bill through the House in March. The legislation passed 219-212, but for some Democrats, that vote could prove to be their political death.”

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