The Affordable Care Act, Barack Obama’s signature health reform, faces a real and fast developing threat from a fourth Senate repeal bill. As September began, Senate Republicans’ efforts to undo Obamacare were given a small chance of success. But the prospect of definitive failure seems to have galvanized the party, and leaders are sounding increasingly confident, with President Donald Trump and the Senate majority leader, Mitch McConnell, asserting that their new version of “Trumpcare” will pass. The bill, called Cassidy-Graham, is effectively the last chance this Congress will have to repeal Obamacare before the midterm elections in November 2018. Under Senate rules, after 30 September it will require an unattainable 60 vote majority to pass. Until 30 September it may pass as a budget measure with a simple majority. In a 50-50 Senate split the vice president, Mike Pence, would …

中文翻译：

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废除奥巴马医改的最后沟渠积聚了动力

巴拉克·奥巴马（Barack Obama）的标志性医疗改革《平价医疗法案》（Affordable Care Act）面临着参议院第四次废除法案的现实和快速发展的威胁。9月初，参议院共和党人撤消奥巴马医改的努力获得了很小的成功机会。但是，最终失败的前景似乎使该党兴奋了，领导人听起来越来越有信心，唐纳德·特朗普总统和参议院多数党领袖米奇·麦康奈尔宣称，他们的新版“特朗普护理”将会过去。这项名为卡西迪-格雷厄姆（Cassidy-Graham）的法案实际上是国会在2018年11月的中期选举之前必须废除奥巴马医改的最后机会。根据参议院的规定，9月30日之后，将需要获得不可投票的60票多数票才能通过。直到9月30日，它都可以作为预算措施以简单多数获得通过。