Thursday's vote -- which comes on the first Senate session on Dec. 24 in more than five decades -- will bring Democrats closer than ever to realizing their 70-year-old goal of universal health coverage.

For the first time, most Americans would be required to obtain health insurance, either through their employer or via new, government-regulated exchanges. Those who can't afford insurance plans would receive federal subsidies. And Medicaid would be vastly expanded to reach millions of low-income children and adults.

Difficult issues must be still resolved in final negotiations with the House, which has passed more liberal health-care reform legislation, and those talks could stretch through January and perhaps into February, Democratic leaders said. But Democrats are increasingly confident that President Obama would sign a bill into law in early 2010.

"Health care reform is not a matter of 'if,' " White House spokesman Robert Gibbs told reporters Wednesday. "Health care reform now is a matter of 'when.' "

Senate Majority Leader Harry Reid declared after Wednesday's vote that: "We stand on the doorstep of history." But he declined to speculate about negotiations with the House.

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Filed under: * Culture-Watch • Health & Medicine • --The 2009 American Health Care Reform Debate • * Economics, Politics • Politics in General • House of Representatives • Office of the President • President Barack Obama • Senate

1. Br. Michael wrote: What ever this is it is not “reform”. December 24, 7:26 am | [comment link]

2. RalphM wrote: Elections have consequences.  How’s that last one working for you? December 24, 9:26 am | [comment link]

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