Democratic lawmakers intend to get the biggest expansion of the U.S. health care system since the launch of Medicare in 1965 through both houses of Congress and on the way to President Barack Obama's desk before they go home for the August recess. "I don't think we've ever had anything this large in American history aimed to go this quickly that touches everybody's lives," said Robert J. Blendon, a professor of health policy and political analysis at Harvard University.

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