When the new Congress and President-elect Trump take office in January, Republicans will have a real chance to repeal President Obama’s Affordable Care Act. If they succeed, it will be the result of their carefully executed strategy to repeal the law and repeated congressional votes to do so. This approach was the subject of much derision from Democrats, but sticking to it has now put the Republicans in a position where they can reach their goal.

When Republicans won the House of Representatives in 2010, they immediately began repeal efforts. Since January 2011 the House has passed more than 50 bills that would repeal all or some of the Affordable Care Act. House Republicans knew that repeal had no chance of passing a Democratic Senate, but the votes placed a marker showing that a duly elected arm of the U.S. government opposed the law and was willing to take steps to repeal it.

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