The U.S. Senate voted 60-39 to begin debate on a mammoth overhaul of the health care system. Almost as soon as the votes were counted, Democratic leaders went to work on a round of negotiations to keep the measure alive. They know they need all of their 60 votes to overcome a Republican filibuster. Several centrist Democrats said some changes must be made if they are to support the measure on the final vote. "We can only see the finish line," said Senate Majority Leader Harry Reid, D-Nev. "We have not yet crossed it."
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