Little noticed in the Republican effort to pass President Donald Trump’s sweeping tax and spending plan this summer was the accomplishment of a long-held party goal: rolling back significant portions of the Affordable Care Act.

But now, the battle over Obamacare is back. Democrats are demanding that at least some of the cuts to former president Barack Obama’s signature law be reversed in exchange for their support of a funding bill, while Republicans are daring Democrats to risk shutting down the government over the issue.

Looming above it all is growing nervousness among some Republicans about the political consequences of millions of people losing health insurance as soon as January - and in the months ahead of next year’s midterm elections.

“The House Republican-only spending bill fa

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