Senate advances on healthcare, with dramatic return by McCainWASHINGTON (Reuters) - U.S. Senate Republicans narrowly agreed on Tuesday to open debate on a bill to end Obamacare, but the party’s seven-year effort to roll back Democratic President Barack Obama’s signature healthcare law still faces significant hurdles. The Senate deadlocked 50-50 on moving forward with the healthcare debate, forcing Vice President Mike Pence to cast the tie-breaking vote. Senator John McCain, who was diagnosed this month with brain cancer and has been recovering from surgery at home in Arizona, made a dramatic return to the U.S. Capitol to cast a crucial vote in favor of proceeding. The outcome was a huge relief for President Donald Trump, who had pushed his fellow Republicans hard in recent days to live up to the party’s campaign promises to repeal the 2010 Affordable Care Act, commonly known as Obamacare. Minutes after the vote, Trump called it “a big step.” But the narrow victory on a simple procedural matter raised questions about whether Republicans can muster the votes necessary to pass any of the various approaches to repeal. Moderates are worried repeal will cost millions of low-income Americans their insurance and conservatives are angry the proposed bills do not go far enough to gut Obamacare, which they consider government overreach. In a first vote of the many likely to come this week, the plan to repeal and replace Obamacare that Senate Republicans have been working on for months failed to get the 60 votes needed for approval on Tuesday night. The vote was 43 in favor and 57 against. Nine Republicans, ranging from moderates such as Susan Collins of Maine to conservatives such as Rand Paul of Kentucky, voted against the bill, which would have made deep cuts to Medicaid, the health insurance program for the poor, and reduced Obamacare subsidies to lower-income people to help them defray the cost of health insurance. Earlier McCain, 80, received an ovation from his fellow senators when he entered the chamber to cast a vote to open debate. After that vote, he decried growing partisanship in the Senate and urged members to learn how “to trust each other again.” Collins and Senator Lisa Murkowski were the only Republicans to oppose the measure to open debate, and with Republicans controlling the Senate by a 52-48 majority, those were the only votes the party leadership could afford to lose. Democrats were united in opposition to the motion to proceed. Republican Senator Ron Johnson, who cast the last and deciding vote to open debate, engaged in a heated discussion with Senate Majority Leader Mitch McConnell before casting his vote and ending the suspense. A loss on the vote to open debate on Tuesday could have been a death blow for Republican efforts to repeal Obamacare and cast doubt on Trump’s prospects to achieve any of his other top legislative agenda items, including tax reform. “We have a duty to act,” McConnell told senators before the vote, reminding Republicans they had promised to repeal Obamacare in four straight elections. “We can’t let this moment slip by.” Republicans have found it difficult to fulfill their campaign promises to repeal Obamacare, which enabled 20 million more Americans to get health insurance. Polls show Obamacare is now far more popular than the Republican alternatives. The nonpartisan Congressional Budget Office has estimated the Senate’s replacement bill could lead to as many as 22 million fewer Americans being insured. The health industry has watched the debate nervously, and after the vote some groups urged the Senate to reconsider its approach. America’s Essential Hospitals, a group representing safety-net hospitals, said in a statement it strongly opposed all the Republican plans and feared the big cuts in Medicaid in the bills “would jeopardize the health and financial security of millions of working people and families.” Shares in health insurer Centene Corp (CNC.N) turned sharply lower after the Senate vote. Earlier on Tuesday, the company had reported a better than expected profit as it benefits from a strong Obamacare business.     As the debate vote opened, more than two dozen protesters in the Senate chamber chanted “kill the bill” before they were removed. Senators said several approaches have been discussed, including a straight repeal of Obamacare with no replacement plan, or repealing and replacing the law while also overhauling Medicaid. Senate Republicans also could consider a shortened version of repeal, called a “skinny repeal,” which would end the mandates in Obamacare on individuals and employers to obtain or provide health insurance, and a medical device tax, a Senate aide and a lobbyist said. “Some of us want clean repeal, some of us want the Senate leadership bill, they’re both going to get a vote early on and I think that’s a fair way to do it,” Republican Senator Rand Paul said. “If either one of them fails and another one succeeds, maybe we can find something in between that actually succeeds.” Republican Senator Bob Corker said the goal was to gain enough votes to get a bill through the Senate and send it to the House of Representatives, which passed its own bill to replace Obamacare in May, for negotiations. “Everybody understands this is just a first step,” he said. Several of the Democrats opposing the motion for debate were from conservative states that backed Trump in 2016 and face tough re-election bids next year, including Senators Joe Manchin of West Virginia, Heidi Heitkamp of North Dakota and Jon Tester of Montana. “We have a good chance to beat this,” Senate Democratic Leader Chuck Schumer told reporters after the vote. Dick Durbin, the No. 2 Senate Democrat, praised Collins and Murkowski for taking a principled stand against the Republican move to open debate. “That wasn’t easy,” Durbin said. “That was an act of political courage on their part; I’m sure they were under tremendous pressure.” politicsNews
senate advances healthcare dramatic return mccainwashington reuters senate republicans narrowly agreed tuesday open debate bill end obamacare party effort roll back democratic president barack obama signature healthcare law still faces significant hurdles the senate deadlock moving forward healthcare debate forcing vice president mike pence cast vote senator john mccain diagnosed month brain cancer recovering surgery home arizona made dramatic return capitol cast crucial vote favor proceeding the outcome huge relief president donald trump pushed fellow republicans hard recent days live party campaign promises repeal affordable care act commonly known obamacare minutes vote trump called big but narrow victory simple procedural matter raised questions whether republicans muster votes necessary pass various approaches repeal moderates worried repeal cost millions americans insurance conservatives angry proposed bills go far enough gut obamacare consider government overreach in first vote many likely come week plan repeal replace obamacare senate republicans working months failed get votes needed approval tuesday night the vote favor nine republicans ranging moderates susan collins maine conservatives rand paul kentucky voted bill would made deep cuts medical health insurance program poor reduced obamacare subsidies people help defeat cost health insurance earlier mccain received ovation fellow senators entered chamber cast vote open debate after vote decreed growing partisanship senate urged members learn trust collins senator lisa murkowski republicans oppose measure open debate republicans controlling senate majority votes party leadership could afford lose democrats united opposition motion proceed republican senator ron johnson cast last deciding vote open debate engaged heated discussion senate majority leader mitch mcconnell casting vote ending suspense a loss vote open debate tuesday could death blow republican efforts repeal obamacare cast doubt trump prospects achieve top legislative agenda items including tax reform we duty act mcconnell told senators vote reminding republicans promised repeal obamacare four straight elections we let moment slip republicans found difficult fulfill campaign promises repeal obamacare enabled million americans get health insurance polls show obamacare far popular republican alternatives the nonpartisan congressional budget office estimated senate replacement bill could lead many million fewer americans insured the health industry watched debate seriously vote groups urged senate reconsider approach america essential hospitals group representing hospitals said statement strongly opposed republican plans feared big cuts medical bills would jeopardize health financial security millions working people shares health insurer center corp turned sharply lower senate vote earlier tuesday company reported better expected profit benefits strong obamacare business as debate vote opened two dozen protesters senate chamber chanted kill bill removed senators said several approaches discussed including straight repeal obamacare replacement plan repealing replacing law also overhanging medical senate republicans also could consider shortened version repeal called skinny repeal would end mandates obamacare individuals employers obtain provide health insurance medical device tax senate aide lobbyist said some us want clean repeal us want senate leadership bill going get vote early i think fair way republican senator rand paul said if either one fails another one succeeds maybe find something actually republican senator bob corner said goal gain enough votes get bill senate send house representatives passed bill replace obamacare may negotiations everybody understands first step said several democrats opposing motion debate conservative states backed trump face tough bids next year including senators joe machine west virginia held heitkamp north dakota jon tester montana we good chance beat senate democratic leader chuck scheme told reporters vote dick during no senate democrat praised collins murkowski taking principle stand republican move open debate that easy during said that act political courage part i sure tremendous politicsnews
Your task is to classify the provided input as real or fake news. Label 0 is meant for fake news, Label 1 is for real news. TEXT: Senate advances on healthcare, with dramatic return by McCainWASHINGTON (Reuters) - U.S. Senate Republicans narrowly agreed on Tuesday to open debate on a bill to end Obamacare, but the party’s seven-year effort to roll back Democratic President Barack Obama’s signature healthcare law still faces significant hurdles. The Senate deadlocked 50-50 on moving forward with the healthcare debate, forcing Vice President Mike Pence to cast the tie-breaking vote. Senator John McCain, who was diagnosed this month with brain cancer and has been recovering from surgery at home in Arizona, made a dramatic return to the U.S. Capitol to cast a crucial vote in favor of proceeding. The outcome was a huge relief for President Donald Trump, who had pushed his fellow Republicans hard in recent days to live up to the party’s campaign promises to repeal the 2010 Affordable Care Act, commonly known as Obamacare. Minutes after the vote, Trump called it “a big step.” But the narrow victory on a simple procedural matter raised questions about whether Republicans can muster the votes necessary to pass any of the various approaches to repeal. Moderates are worried repeal will cost millions of low-income Americans their insurance and conservatives are angry the proposed bills do not go far enough to gut Obamacare, which they consider government overreach. In a first vote of the many likely to come this week, the plan to repeal and replace Obamacare that Senate Republicans have been working on for months failed to get the 60 votes needed for approval on Tuesday night. The vote was 43 in favor and 57 against. Nine Republicans, ranging from moderates such as Susan Collins of Maine to conservatives such as Rand Paul of Kentucky, voted against the bill, which would have made deep cuts to Medicaid, the health insurance program for the poor, and reduced Obamacare subsidies to lower-income people to help them defray the cost of health insurance. Earlier McCain, 80, received an ovation from his fellow senators when he entered the chamber to cast a vote to open debate. After that vote, he decried growing partisanship in the Senate and urged members to learn how “to trust each other again.” Collins and Senator Lisa Murkowski were the only Republicans to oppose the measure to open debate, and with Republicans controlling the Senate by a 52-48 majority, those were the only votes the party leadership could afford to lose. Democrats were united in opposition to the motion to proceed. Republican Senator Ron Johnson, who cast the last and deciding vote to open debate, engaged in a heated discussion with Senate Majority Leader Mitch McConnell before casting his vote and ending the suspense. A loss on the vote to open debate on Tuesday could have been a death blow for Republican efforts to repeal Obamacare and cast doubt on Trump’s prospects to achieve any of his other top legislative agenda items, including tax reform. “We have a duty to act,” McConnell told senators before the vote, reminding Republicans they had promised to repeal Obamacare in four straight elections. “We can’t let this moment slip by.” Republicans have found it difficult to fulfill their campaign promises to repeal Obamacare, which enabled 20 million more Americans to get health insurance. Polls show Obamacare is now far more popular than the Republican alternatives. The nonpartisan Congressional Budget Office has estimated the Senate’s replacement bill could lead to as many as 22 million fewer Americans being insured. The health industry has watched the debate nervously, and after the vote some groups urged the Senate to reconsider its approach. America’s Essential Hospitals, a group representing safety-net hospitals, said in a statement it strongly opposed all the Republican plans and feared the big cuts in Medicaid in the bills “would jeopardize the health and financial security of millions of working people and families.” Shares in health insurer Centene Corp (CNC.N) turned sharply lower after the Senate vote. Earlier on Tuesday, the company had reported a better than expected profit as it benefits from a strong Obamacare business.     As the debate vote opened, more than two dozen protesters in the Senate chamber chanted “kill the bill” before they were removed. Senators said several approaches have been discussed, including a straight repeal of Obamacare with no replacement plan, or repealing and replacing the law while also overhauling Medicaid. Senate Republicans also could consider a shortened version of repeal, called a “skinny repeal,” which would end the mandates in Obamacare on individuals and employers to obtain or provide health insurance, and a medical device tax, a Senate aide and a lobbyist said. “Some of us want clean repeal, some of us want the Senate leadership bill, they’re both going to get a vote early on and I think that’s a fair way to do it,” Republican Senator Rand Paul said. “If either one of them fails and another one succeeds, maybe we can find something in between that actually succeeds.” Republican Senator Bob Corker said the goal was to gain enough votes to get a bill through the Senate and send it to the House of Representatives, which passed its own bill to replace Obamacare in May, for negotiations. “Everybody understands this is just a first step,” he said. Several of the Democrats opposing the motion for debate were from conservative states that backed Trump in 2016 and face tough re-election bids next year, including Senators Joe Manchin of West Virginia, Heidi Heitkamp of North Dakota and Jon Tester of Montana. “We have a good chance to beat this,” Senate Democratic Leader Chuck Schumer told reporters after the vote. Dick Durbin, the No. 2 Senate Democrat, praised Collins and Murkowski for taking a principled stand against the Republican move to open debate. “That wasn’t easy,” Durbin said. “That was an act of political courage on their part; I’m sure they were under tremendous pressure.” politicsNews
Your task is to classify the provided input as real or fake news. Label 0 is meant for fake news, Label 1 is for real news. TEXT: senate advances healthcare dramatic return mccainwashington reuters senate republicans narrowly agreed tuesday open debate bill end obamacare party effort roll back democratic president barack obama signature healthcare law still faces significant hurdles the senate deadlock moving forward healthcare debate forcing vice president mike pence cast vote senator john mccain diagnosed month brain cancer recovering surgery home arizona made dramatic return capitol cast crucial vote favor proceeding the outcome huge relief president donald trump pushed fellow republicans hard recent days live party campaign promises repeal affordable care act commonly known obamacare minutes vote trump called big but narrow victory simple procedural matter raised questions whether republicans muster votes necessary pass various approaches repeal moderates worried repeal cost millions americans insurance conservatives angry proposed bills go far enough gut obamacare consider government overreach in first vote many likely come week plan repeal replace obamacare senate republicans working months failed get votes needed approval tuesday night the vote favor nine republicans ranging moderates susan collins maine conservatives rand paul kentucky voted bill would made deep cuts medical health insurance program poor reduced obamacare subsidies people help defeat cost health insurance earlier mccain received ovation fellow senators entered chamber cast vote open debate after vote decreed growing partisanship senate urged members learn trust collins senator lisa murkowski republicans oppose measure open debate republicans controlling senate majority votes party leadership could afford lose democrats united opposition motion proceed republican senator ron johnson cast last deciding vote open debate engaged heated discussion senate majority leader mitch mcconnell casting vote ending suspense a loss vote open debate tuesday could death blow republican efforts repeal obamacare cast doubt trump prospects achieve top legislative agenda items including tax reform we duty act mcconnell told senators vote reminding republicans promised repeal obamacare four straight elections we let moment slip republicans found difficult fulfill campaign promises repeal obamacare enabled million americans get health insurance polls show obamacare far popular republican alternatives the nonpartisan congressional budget office estimated senate replacement bill could lead many million fewer americans insured the health industry watched debate seriously vote groups urged senate reconsider approach america essential hospitals group representing hospitals said statement strongly opposed republican plans feared big cuts medical bills would jeopardize health financial security millions working people shares health insurer center corp turned sharply lower senate vote earlier tuesday company reported better expected profit benefits strong obamacare business as debate vote opened two dozen protesters senate chamber chanted kill bill removed senators said several approaches discussed including straight repeal obamacare replacement plan repealing replacing law also overhanging medical senate republicans also could consider shortened version repeal called skinny repeal would end mandates obamacare individuals employers obtain provide health insurance medical device tax senate aide lobbyist said some us want clean repeal us want senate leadership bill going get vote early i think fair way republican senator rand paul said if either one fails another one succeeds maybe find something actually republican senator bob corner said goal gain enough votes get bill senate send house representatives passed bill replace obamacare may negotiations everybody understands first step said several democrats opposing motion debate conservative states backed trump face tough bids next year including senators joe machine west virginia held heitkamp north dakota jon tester montana we good chance beat senate democratic leader chuck scheme told reporters vote dick during no senate democrat praised collins murkowski taking principle stand republican move open debate that easy during said that act political courage part i sure tremendous politicsnews