WASHINGTON — Sen. John McCain declared his opposition Friday to the GOP's last-ditch effort to repeal and replace "Obamacare," dealing a likely death blow to the legislation and, perhaps, to the Republican Party's years of vows to kill the program. It was the second time in three months the 81-year-old McCain emerged as the destroyer of his party's signature promise to voters.
"I believe we could do better working together, Republicans and Democrats, and have not yet really tried," McCain said of the bill, co-written by Lindsey Graham of South Carolina, his best friend in the Senate, and Bill Cassidy of Louisiana. "Nor could I support it without knowing how much it will cost, how it will affect insurance premiums, and how many people will be helped or hurt by it."
McCain, who is battling brain cancer in the twilight of a remarkable career, said he could not "in good conscience" vote for the legislation. That all but ensured a major setback for President Donald Trump and Senate Majority Leader Mitch McConnell, and appeared likely to deepen rifts between congressional Republicans and a president who has begun making deals with Democrats out of frustration with his own party's failure to turn proposals into laws.
During the election campaign Trump had pledged to quickly kill President Barack Obama's health care program — "It will be easy," he contended — and he has publicly chided McConnell for not winning passage before now.
With the Arizona senator's defection, there are now two declared GOP "no" votes on the repeal legislation, the other being Rand Paul of Kentucky. With Democrats unanimously opposed, that's the exact number McConnell can afford to lose. But Maine GOP Sen. Susan Collins said Friday she, too, is leaning against the bill, and Lisa Murkowski of Alaska was also a possible "no," making it highly unlikely that McConnell can prevail.
So once again, the GOP seems destined to fail on a campaign promise that every Republican agreed on — right up until the party obtained full control of Congress and the White House this year and was actually in position to follow through.
There was no immediate reaction from Trump. But Vice President Mike Pence said the fight wasn't over.
"This is not going to be easy. Some have gone so far as to announce their opposition already," he said. "President Trump and I are undeterred."
Graham, too, vowed in a statement to "press on," and reaffirmed his friendship with McCain.
Up until McCain's announcement Friday, close McConnell allies were still optimistic McCain's relationship with Graham might make the difference.
GOP leaders hoped to bring the legislation to the Senate floor next week. They face a Sept. 30 deadline, at which point special rules that prevent a Democratic filibuster will expire.
Democrats hailed McCain's announcement and pledged to commit to the bipartisan process he sought. GOP Sen. Lamar Alexander of Tennessee and Democratic Sen. Patty Murray of Washington have been working on a package of limited legislative fixes to the "Obamacare" marketplaces.
"John McCain shows the same courage in Congress that he showed when he was a naval aviator," said Senate Minority Leader Chuck Schumer, D-N.Y. "I have assured Sen. McCain that as soon as repeal is off the table, we Democrats are intent on resuming the bipartisan process."
The Graham-Cassidy bill would repeal major pillars of Obama's law, replacing them with block grants to states to design their own programs. Major medical groups are opposed, saying millions would lose insurance coverage and protections, and a bipartisan group of governors also has announced opposition.