18 September 2017 - Just when the effort to repeal the Affordable Care Act appeared to be dead, a last-ditch push to dismantle the law could be nearing a showdown vote in the Senate, and a handful of Republicans insist they are closing in on the votes.

The effort received a jolt of energy on Monday when Gov. Doug Ducey of Arizona, a Republican, strongly endorsed the latest repeal bill. That put pressure on Senator John McCain, Republican of Arizona, who cast the deciding vote in July that seemed to stop the repeal movement, but who has said he would seriously consider the views of his governor.

The leaders of the latest repeal effort, Senators Lindsey Graham of South Carolina and Bill Cassidy of Louisiana, say their drive is gaining momentum. But it is still a long shot. Under their bill, millions could lose coverage, Medicaid would see the same magnitude of cuts that earlier repeal bills extracted, and insurers in some states could charge higher premiums to people with pre-existing conditions.

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