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Why Senate Republicans aren't uniting behind a healthcare plan

By POLITICO  
   December 09, 2025

Senate Republicans have no shortage of healthcare plans. The challenge is getting all 53 of them to rally behind one. Three days before a high-profile vote on a Democratic proposal to extend expiring Obamacare subsidies, GOP senators are nowhere near coalescing behind any single alternative that could be put up alongside it. Instead, Republican leaders appear happy allowing their members to freelance, even as Democrats and some in their own ranks fume at the lack of clear direction. For Republicans, the risk of proceeding Thursday with a side-by-side vote is clear. While Democrats say they will have their entire 47-member caucus behind the three-year extension, any GOP plan right now is likely to fall well short of complete unity — and highlight the divisions in their party. Senate Majority Leader John Thune called the upcoming vote on Democrats' plan 'a political messaging exercise,' one he agreed to last month as part of a deal to end the 47-day government shutdown. He didn't commit to putting up a GOP counteroffer for a vote.

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