A narrow victory in the House

With the vote Thursday, Republicans recovered from their earlier failures and moved a step closer to delivering their promise to reshape American health care without mandated insurance coverage.

The vote, 217-to-213, on President Trump’s 105th day in office, keeps alive the Republican dream of unwinding the signature legislative achievement of former President Barack Obama. The House measure faces profound uncertainty in the Senate, where the legislation’s steep spending cuts will almost certainly be moderated. Any legislation that can get through the Senate will again have to clear the House and its conservative majority.