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There would be enormous consequences were the court to throw out the ACA, which has survived twice in the high court. But the court's makeup is very different now than on those past occasions.
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With the confirmation of Judge Amy Coney Barrett, anti-abortion activists hope for a world where ending an unwanted pregnancy is not an option.
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The 48-year-old judge solidifies the court's conservative majority, filling Justice Ruth Bader Ginsburg's seat just about a week before Election Day.
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A 51-48 cloture vote in the Senate on Sunday sets the stage for a final confirmation vote Monday evening — just over a week before the general election.
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Democrats boycotted the vote, pointing to what they called the damage she would do to health care, and reproductive and voting rights, and the fact the vote took place amid the presidential election.
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The Senate minority can't stop Amy Coney Barrett from ascending to the Supreme Court, so it did as much as possible to tar her in the eyes of the public as an extremist rubber stamp for Trump.
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President Trump's nominee deflected answering most questions, citing precedent that she can't weigh in on issues she may rule on. Weeks before the election, Democrats largely honed in on health care.
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Senate Judiciary Committee Democrats pressed Amy Coney Barrett about her criticism of the legal opinion that saved Obamacare. But she noted that case differs from the one before the court on Nov. 10.
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Demonstrators called on lawmakers to "save the ACA" and "protect life in law" in dueling protests on Monday, the first day of Barrett's Supreme Court confirmation hearings. See photos from the day.
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The Democratic vice presidential nominee called on Senate Republicans to hold off on Amy Coney Barrett's Supreme Court confirmation until after the presidential election.
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Assured about the likelihood of victory in confirming Amy Coney Barrett to the Supreme Court, the Judiciary Committee majority stressed the importance of the government's separate powers.
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Questioning of nominee Amy Coney Barrett will begin today and last through Wednesday.