The 220-215 vote late Saturday cleared the way for the Senate to begin a long-delayed debate on the issue that has come to overshadow all others in Congress.
"The House bill is dead on arrival in the Senate," Sen. Lindsey Graham, R-S.C., said Sunday. "It was a bill written by liberals for liberals." A Democratic colleague, Sen. Jack Reed of Rhode Island, predicted an overhaul would pass the Senate because "it's essential" to the country's economic success and people's quality of life. "It will take time," he added.
House Republicans were nearly unanimous in opposing the plan that would expand coverage to tens of millions of Americans and place tough new restrictions on the insurance industry.
A triumphant Speaker Nancy Pelosi compared the legislation to the passage of Social Security in 1935 and Medicare 30 years later.
Obama, who went to Capitol Hill on Saturday to lobby waveringDemocrats, said in a statement after the vote that he looked forward to signing a bill by year's end.
Republicans detailed their objections across hours of debate on the 1,990-page, $1.2 trillion legislation.
"We are going to have a complete government takeover of our health care system faster than you can say, `this is making me sick,'" said Rep. Candice Miller, R-Mich.
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