A big step on health care

The Senate passed its health-care bill by a vote of 60 to 39 Thursday. The measure still needs to be reconciled with the House version and then win final approval in both chambers. But comprehensive health-care reform is much closer to reality -- the largest expansion of health-care coverage since the passage of Medicare in 1965. For the many Americans with employer-provided coverage, the impact will be relatively minor in the near future. For others, the changes will be significant, though the bulk of the reforms don't hit until 2013 or 2014.

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