No. of Recommendations: 5
If Democrats could’ve passed the bill with 51 votes, they could’ve told Lieberman to take a hike.

And if Republicans could pass a bill with 51 votes, they could have repealed the ACA entirely in 2017 and replaced it with their preferred alternative.

Sometimes the marginal vote is a centrist Democrat blocking a progressive proposal...but sometimes the marginal vote is a centrist Republican blocking a hard right proposal. The reason the GOP got in such a bind over ACA repeal is that while they had the ability to repeal (in part) the bill with 51 votes, they would have needed 60 votes to enact their preferred replacement. So they had no path to drafting their own bill, just axing parts of the existing ACA.

Albaby
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