The beginning of the end for America.

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House passes sweeping healthcare overhaul

Sun Nov 8, 2009 1:18am EST

WASHINGTON (Reuters) - The House of Representatives approved a sweeping healthcare reform bill on Saturday, backing the biggest health policy changes in four decades and handing President Barack Obama a crucial victory.

On a narrow 220-215 vote, including the support of one Republican, the House endorsed a bill that would expand coverage to nearly all Americans and bar insurance practices such as refusing to cover people with pre-existing conditions.

Most Republicans criticized its $1 trillion price tag, new taxes on the wealthy and what they said was excessive government interference in the private health sector.

Democrats cheered and hugged when the 218th vote was recorded, and again when House Speaker Nancy Pelosi pounded the gavel and announced the results.

The battle over Obama's top domestic priority now moves to the Senate, where work on its own version has stalled for weeks as Senate Democratic leader Harry Reid searches for an approach that can win the 60 votes he needs.

Any differences between the Senate and House bills ultimately will have to be reconciled, and a final bill passed again by both before going to Obama for his signature.

"Thanks to the hard work of the House, we are just two steps away from achieving health insurance reform in America. Now the United States Senate must follow suit and pass its version of the legislation," Obama said in a statement after the vote.

"I am absolutely confident it will, and I look forward to signing comprehensive health insurance reform into law by the end of the year," he said.

The overhaul would spark the biggest changes in the $2.5 trillion U.S. healthcare system, which accounts for one sixth of the U.S. economy, since the creation of the Medicare government health program for the elderly in 1965.

ABORTION DEAL

The vote followed days of heavy lobbying of undecided Democrats by Obama, his top aides and House leaders. The narrow victory was clinched early on Saturday by a deal designed to mollify about 40 Democratic opponents of abortion rights.

Democrats had a cushion of 40 of their 258 House members they could lose and still pass the bill. In the end, 39 Democrats sided with Republicans against it.

The lone Republican to vote in favor of it was first-term Representative Anh Cao of Louisiana. "It was a bipartisan vote," Democratic leader Steny Hoyer said to laughter among fellow Democrats afterward.


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