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World News Obamacare repeal appears doomed after key Republican says ‘no’

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WASHINGTON, (Reuters) - U.S. Senator Susan Collins rebuffed intense lobbying from fellow Republican­s and the promise of more money for her state in deciding yesterday to oppose - and likely doom - her party’s last-ditch effort to repeal Obamacare.

The most moderate of Republican senators joined John McCain and Rand Paul in rejecting the bill to end Obamacare, a top priority for President Donald Trump, who pressured Collins in a call yesterday. A sweeping cut in funding to Medicaid, a programme for low income citizens and disabled children, was the main reason for opposing the bill, she told reporters.

“To take a program that has been law for more than 50 years, and make those kinds of fundamenta­l structural changes ... and to do so without having in depth hearings to evaluate the impact on our most vulnerable citizens was unacceptab­le to me,” Collins said outside the Senate chambers.

She also opposed the bill for weakening protection­s for people with pre-existing conditions, such as asthma, cancer and diabetes.

“So for those reasons, I cannot support the bill,” Collins said.

Collins’ decision came even after the sponsors of the bill, Senators Lindsey Graham and Bill Cassidy, offered a boost in federal health care funds of more than 40 percent for her state, Maine.

For seven years, Republican­s have vowed to get rid of Democratic former President Barack Obama’s signature healthcare law, which extended health insurance to some 20 million Americans. They believe it is an unwarrante­d and costly government intrusion into healthcare, while also opposing taxes it imposed on the wealthy.

Republican­s, who hold a slim 52-48 majority in the Senate, are up against a tight September 30 deadline to pass a bill with a simple majority, instead of the 60vote threshold needed for most measures. Senate Majority Leader Mitch McConnell wanted to hold a vote this week, but it is not clear he will do so now that three senators have said they will cast “no” votes.

Graham dismissed notions that the bill was the last chance for Republican­s to get rid of Obamacare and pledged to keep working on the legislatio­n.

Democrats kept up their pressure for killing the bill. In an evening speech on the Senate floor, Senate Democratic leader Chuck Schumer said, “The Trumpcare bill would gut Medicaid, would cause millions to lose coverage, cause chaos in the marketplac­e.”

Schumer said once repeal of Obamacare is off the table, Democrats want to work with Republican­s “to find a compromise that stabilizes markets, that lowers premiums.”

Collins and McCain, who voted against the last major repeal effort in July, have both advocated for a bipartisan solution to fixing the parts of Obamacare that do not function well.

U.S. hospital stocks were down across the board as the bill struggled. Shares of HCA Healthcare Inc and Tenet Healthcare Corp were hit particular­ly hard, falling 2.5 percent and 5.7 percent, respective­ly, on Monday.

“The Graham-Cassidy bill is looking to reduce funding for Medicaid in the longer term,” said Jefferies analyst Brian Tanquilut. “That is a benefit that we have seen improve the earnings outlooks for these hospitals.”

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Susan Collins

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