"GOP Launches Bid To Repeal Health Care Law"

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The House of Representatives is set to vote today on repealing the health care overhaul. That vote is largely seen as symbolic. While there's no question that the repeal bill will get through the Republican-dominated House, it has no chance in the Democratic-majority Senate. Still, as NPR's Julie Rovner reports, this exercise is setting the tone for a health care debate that's sure to continue.

JULIE ROVNER: The formal title of the House GOP bill is, quote, "Repealing the Job-Killing Health Care Law Act." But in the wake of the recent shootings in Arizona, the phrase job-killing was barely mentioned during the first few hours of debate on the House floor yesterday. Instead, Republicans like Lamar Smith of Texas used more restrained language to describe their distaste with the health measure passed last year.

LAMAR SMITH: I support this legislation that repeals the Democrat's job-stifling, cost-increasing, freedom-limiting health care law.

ROVNER: And some Republicans, like Smith's fellow Texan Ted Poe, were able to make their feelings known by being pointed rather than personal.

TED POE: And if you like the efficiency of the post office, the competence of FEMA, and the compassion of the IRS, we will love the nationalized health care bill.

ROVNER: Many, like Michigan freshman Justin Amash, say the law simply gives the federal government too much power, particularly the requirement that nearly every American either have health insurance or else pay a penalty.

JUSTIN AMASH: If this law is constitutional, if Congress has such broad power, our limited federal government will have become limitless.

ROVNER: Burke, who was profiled by NPR last fall, has wrestled over the years with lifetime caps on various insurance policies he'd have on the job.

ED BURKE: Once you have reached your lifetime cap, you would be forced to pay the rest of your health care out-of-pocket or to change jobs, and sometimes even careers, in order to have health benefits and a new cap.

ROVNER: But Burke told the Democratic lawmakers he no longer has to worry.

BURKE: Our new patient's rights prohibit insurance companies from having such caps, and even removed annual limits so that any insured American can receive all the care they need without fear.

ROVNER: The Democrats also heard from Claudette Therriault of Sabattus, Maine. Therriault and her husband are seniors on Medicare who have high drug costs and have come face-to-face with the program's so-called doughnut hole. It forces people to pay for their own drugs while still paying monthly drug insurance premiums. In the Therriault's case it was thousands of dollars.

CLAUDETTE THERRIAULT: We didn't foresee this, and it was devastating. This is four house payments for us. We had to choose between defaulting on our loan or my husband's health.

ROVNER: Therriault says she's looking forward to this year, when the new law will provide a 50 percent discount for brand name drugs once seniors reach that donut hole threshold.

THERRIAULT: This assistance could have saved us thousands last year.

ROVNER: Julie Rovner, NPR News, Washington.