Democrats largely protested a GOP effort to put senators on the    record on a plan providinguniversal health care, but a    handful running for re-election in Republican-leaning states    decided to reject the single-payer system.  
    Sen. Steve Daines, R-Mont, introduced an amendment    Wednesday night to amend the House-passed health care    legislation currently on the floor and replace it with a    Democratic bill giving every American health care through    Medicare. Daines does not support the Medicare-for-All bill,    but he argued that the American people should know    Democratsposition on the issue. Democrats cried foul,    saying that Republicans were playing politics.  
    For Senate Democrats, avote against the bill would risk    angering the progressive Democratic base, with more liberal    groups rallying around the single-payer option. But a vote for    the bill could spark criticismfrom the moderate    wingthat is wary of a government-run health care system.  
    Asked if the Thursday vote put Democrats up for re-election in    the 2018 midtermsin the difficult position of taking a    stance on a contentious intra-party issue, Democratic    Senatorial Campaign Committee Chairman Chris Van Hollendidnt respond    directly.  
    I think every member will vote based on what they think is    best for their state, the Maryland Democratsaid.  
    And a handful of Senate Democrats in some of the most    competitivere-election decided supporting the bill was    not good policy or politics.  
    Forty three of the 48 Democratsvoted present on the    amendment. But fourSenate Democrats and one Independent    who caucuses with them all voted no. All of them are up for    re-election in 2018, and the fourDemocrats are running in    states that President Donald Trump won in November.  
    We need realistic solutions to help fix our health care system    and Ill keep trying to work across the aisle to do just that,    Sen. Heidi Heitkamp, D-N.D., said in a statement    explaining her no vote. The decision was made in 2010 to go    with a market-based system the question is how we    improve the system we have.  
    Sen. Angus King, I-Maine, also voted against the bill.    Thatdoesnt necessarily express his final opinion on the    subject, he said.  
    But the bill had way too many complications King said. I    didnt think it was a good bill, so I voted no.  
    Trump won one of Maines four electoral votes last November.    Inside Elections with Nathan L. Gonzales rates Kings    re-election race as a Solidly    Democratic.  
    Three of the Senate Democrats in tossup    races Heitkamp, Joe Donnelly of Indiana and Joe Manchin III of West Virginia    also voted no. Sen. John Tester of Montana also rejected the    amendment. Hisre-election race israted Tilt    Democrat.  
    Those who voted present sided with Sen. Bernie Sanders, I-Vt., who supports single-payer    but called the GOP amendment a political trick on the Senate    floor. Sanders decided Wednesday night, in    consultationwith Senate Minority Leader Charles E. Schumer, that he would not be voting in    favor of the amendment. And theyencouraged fellow    Democrats to do the same.  
    One Democratin a tossup race voted present even though    she opposes a single-payer system.  
    I am not for single-payer said it a million    times,Sen. Claire McCaskill explained after the vote. Im    for public option. Im for buy-in on Medicare for 55-65. And    ... I dont think anybody in Missouri is going to think Im    afraid of taking a tough vote. So Im not worried    aboutthat."  
    But I am worried that they dont realize what a sham this has    become, the Missouri Democrat added. [Republicans]    arenow saying they will only pass a bill if theyre    positive the House wont pass it. This is like the twilight    zone. I mean its crazy.  
    McCaskill was referring to GOP leadership's plan to pass a        skinny repeal of provisions of the Affordable Care Act,    so that the Senate could go to a conference with the House and    negotiate a more comprehensive Obamacare repeal bill.  
    The skinny repeal is still being drafted. Democrats    accused Republicans of playing political games in the    meantime.  
    Sen. Christopher S. Murphy said he was not concerned    that single-payer supporters would be angry that Democrats did    not voice support for the legislation.  
    People who are pushing single payer understand that this is a    sham process, the Connecticut Democrat said. Once the dust    settles on this repeal effort were going to have a really    important conversation about what the future of U.S. health    care is. But this is a total sham. Were not going to let it    dictate the terms of the debate on Medicare-for-All.  
    Ken Zinn, political director for the National Nurses United,    which supports the Medicare-for-All legislation, said he    understood Democrats decision to vote present.  
    As Sen. Sanders correctly pointed out on the Senate floor,    this was a ploy by Sen. Daines, Zinn said.  
    Zinn expected a renewed push for single-payer after the GOP    health care votes this week, and expects Sanders to introduce    his own Medicare-for-All legislation in the coming weeks.  
    Zinn said the union would be approaching the senators who voted    against the amendment Thursday and urge them to support    Sanders bill. He said those who do not support the proposal    would absolutely face political blowback.  
    The movement for single payer, Medicare-for-All, is growing by    leaps and bounds across the country, Zinn said. Those who are    not willing to go there are going to have to face the    consequences when they face their constituents or their    voters.  
    Republicans were quick to criticize Senate Democrats for their    votes on the bill, accusing them of ducking a policy the    Democratic base supports.  
    Senate Democrats had the opportunity to put their money where    their mouths are and vote for their own government-run health    care plan, and they promptly went into hiding, said    NationalRepublican Senatorial Committee    spokeswomanKatie Martin.  
    Andy Van Wye contributed to this    report.Correction:A previous version    of this story incorrectly stated Sen. Bill Nelsons vote. The Florida    Democratvoted present.  
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Original post:
Some Red State Democrats Reject Single-Payer Amendment - Roll Call