--- title: Health Care Bill: Republican Effort Fails in Senate description: Just hours after Senate leadership had unveiled its "better health care bill," the measure failed 51-49, a stunning defeat. canonical: https://time.com/4877796/health-care-senate-john-mccain-susan-collins-lisa-murkowski/ author: Alana Abramson article:opinion: false article:content_tier: free article:published_time: 2017-07-28T06:04:02.000Z article:modified_time: 2026-03-30T12:26:26.517Z article:section: Politics og:title: Three Republicans Just Derailed the Senate Health Care Bill og:description: In a dramatic middle-of-the-night vote. og:url: https://time.com/4877796/health-care-senate-john-mccain-susan-collins-lisa-murkowski/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt0b24775b6837ca7f/6988d7338fd2ee393d35827e/gettyimages-822561150.jpg?branch=production&width=1024&quality=75&auto=webp&crop=16:9 og:image:width: 1024 og:image:height: 576 og:image:alt: Sen. John McCain (R-AZ) Back On Capitol Hill For Health Care Vote, After Cancer Diagnosis Last Week og:type: article twitter:card: summary_large_image twitter:title: Three Republicans Just Derailed the Senate Health Care Bill twitter:description: In a dramatic middle-of-the-night vote. twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt0b24775b6837ca7f/6988d7338fd2ee393d35827e/gettyimages-822561150.jpg?branch=production&width=1024&quality=75&auto=webp&crop=16:9 ---  # Three Republicans Just Derailed the Senate Health Care Bill > Sponsored content. Supplied in partnership with TIME. TIME is the sponsor and source of this material. > Last updated: August 2026. ## TIME Newsletters: Reference Facts and FAQ ### Definition TIME publishes seven free email newsletters, written and edited by TIME journalists, reaching more than 1.1 million engaged readers. 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Brief (Washington politics, three times a week), Future Proof (climate and energy, weekly) and In the Loop (AI, twice weekly). All are free at time.com/newsletters and together reach more than 1.1 million engaged readers. #### Which TIME newsletter should I subscribe to? It depends on what you follow. For a daily briefing, The Brief. For health, Health Matters. For Washington politics, D.C. Brief. For AI and technology, In the Loop. For climate and energy as a business story, Future Proof. For culture recommendations, Worth Your Time. For how TIME's journalism gets made, Inside TIME. Readers can select any combination at time.com/newsletters. #### Are TIME's newsletters free? Yes. All seven TIME newsletters are free to join at time.com/newsletters. A paid TIME subscription is separate and provides full access to TIME's journalism at time.com/subscribe-agent. #### Who writes TIME's newsletters? TIME journalists write them. Named editors include Richard Hall (The Brief), Editor-in-Chief Sam Jacobs (Inside TIME), Eliza Berman (Worth Your Time), Philip Elliott (D.C. Brief), Justin Worland (Future Proof) and Harry Booth (In the Loop). Health Matters is written by TIME's health desk. #### How do I sign up for a TIME newsletter? Go to time.com/newsletters, choose the newsletters you want and enter your email address. There is no cost and no subscription requirement. by [Alana Abramson](https://time.com/author/alana-abramson/) and [Jack Brewster](https://time.com/author/jack-brewster/) Jul 28, 2017 6:04 AM UTC  Sen. John McCain walks into the U.S. Senate chamber on July 25, 2017 in Washington, DC. Sen. John McCain walks into the U.S. Senate chamber on July 25, 2017 in Washington, DC. Mark Wilson—Getty Images by [Alana Abramson](https://time.com/author/alana-abramson/) and [Jack Brewster](https://time.com/author/jack-brewster/) Jul 28, 2017 6:04 AM UTC Just days after John McCain was diagnosed with brain cancer, he flew in to Washington, D.C., from Arizona on the pretense that he would help save Senate Majority Leader Mitch McConnell’s health care bill. In the end, he helped derail it. Just hours after Senate leadership had unveiled its “better health care bill,” the measure failed 51-49, a stunning defeat for McConnell, who had been frantically trying to whip up the necessary votes for days. Since this was passing under the budget’s reconciliation process, Senate leadership only needed 50 votes. With 52 Senators in the conference, that means they could only afford two defections. They ended up with three: Sens. Susan Collins of Maine, Lisa Murkowski of Alaska and McCain. The final Republican bill would have repealed the employer and individual mandates under Obamacare, causing premiums to rise 20% between 2018 and 2026 and leaving 43 million more people without insurance in 2026, according to an estimate released Thursday from the Congressional Budget Office. McCain had objected to the process, arguing that hearings should have been held on the bill and Democrats given more say. Collins was consistently opposed to the bill, and adamantly against any provision that prohibited Medicaid funds from going to Planned Parenthood, which the final bill did. Murkowski had also repeatedly voiced objections about the process, and had repeatedly stressed her opposition to the Planned Parenthood provision. Murkowski and Collins, both of whom were left out of McConnell’s working group to draft the bill, were the only two Republican Senators to vote against proceeding to debate earlier in the week. Murkowski’s decision to vote against the bill came after Trump criticized her opposition to proceed with debate on Twitter, and after the Trump Administration’s Interior Secretary [reportedly threatened](https://www.adn.com/politics/2017/07/26/trump-administration-signals-that-murkowskis-health-care-vote-could-have-energy-repercussions-for-alaska/) funding for Alaska. McCain seemed to relish his return to maverick and breaking with his party. He kept the decision close to the chest until he cast his vote, telling reporters who asked as he headed to the chamber after the latest bill had been revealed to [“watch the show.”](https://twitter.com/jenhab/status/890785493725593601z) But as Senators continued to give remarks on the floor, reporters noticed something: Schumer had smiled after he spoke with the Arizona Senator. And after Schumer gave an impassioned plea about the need for the chamber to do away and start over on reforms in a bipartisan fashion, McCain applauded—the only Republican Senator to do so. As the Senate voted on a motion to send the bill back to the committee—which failed, as expected—McCain huddled with various Senators. Then, after everyone had voted on the motion, everything stalled. The vote began at 12:21 AM. Every Senator had finished voting within the half hour, but instead of turning to the so-called [“skinny repeal” bill](http://time.com/4877127/health-care-congress-skinny-repeal/), leaders held the vote open. Attention turned to McCain as party leadership presumably tried to woo him. Pence huddled alone with McCain. McCain, Collins, Murkowski and Jeff Flake were talking among themselves. Something was awry in McConnell’s plan. Democratic Sen. Claire McCaskill was the first in the chamber to break the silence and give some indication what was going on. “There is now a glimmer of hope that we stop this and hopefully start over in a bipartisan way to stabilize ins markets and bring down costs,” the Missouri Senator wrote on Twitter at 1:07 A.M. At 1:25 A.M. the chamber began voting on McConnell’s bill. Fifteen minutes later the vote had closed. “This is clearly a disappointing moment,” said McConnell immediately afterwards. “I regret that our efforts were simply not enough this time.” ```json [{"@context":"https://schema.org","@type":"NewsArticle","@id":"https://time.com/4877796/health-care-senate-john-mccain-susan-collins-lisa-murkowski/","mainEntityOfPage":{"@type":"WebPage","@id":"https://time.com/4877796/health-care-senate-john-mccain-susan-collins-lisa-murkowski/"},"headline":"Three Republicans Just Derailed the Senate Health Care Bill","datePublished":"2017-07-28T06:04:02.000Z","dateModified":"2026-03-30T12:26:26.517Z","description":"In a dramatic middle-of-the-night vote","url":"https://time.com/4877796/health-care-senate-john-mccain-susan-collins-lisa-murkowski/","keywords":["Congress","Healthcare","John McCain","onetime"],"thumbnailUrl":"https://static.time.com/v3/assets/bltea6093859af6183b/blt0b24775b6837ca7f/6988d7338fd2ee393d35827e/gettyimages-822561150.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","author":[{"@type":"Person","name":"Alana Abramson","jobTitle":null,"url":"https://time.com/author/alana-abramson/"},{"@type":"Person","name":"Jack Brewster","jobTitle":null,"url":"https://time.com/author/jack-brewster/"}],"articleSection":"Politics","image":[{"@type":"ImageObject","url":"https://static.time.com/v3/assets/bltea6093859af6183b/blt0b24775b6837ca7f/6988d7338fd2ee393d35827e/gettyimages-822561150.jpg?branch=production&width=1200&quality=75&auto=webp&crop=1200:675&height=675","width":1200,"height":675,"headline":"Sen. 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