US President Donald Trump has vowed to repeal the Affordable Care Act, but efforts have so far fallen short.

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Senate rejects scaled-down 'skinny repeal', derailing the Republican Party's seven-year quest to overturn Obamacare.

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Republicans, struggling to keep seven-year-old promise to end the law, turn focus to passing slimmed-down 'skinny' bill.

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Vice President Mike Pence forced to cast the tie-breaking vote on moving forward with the senate healthcare debate.

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