Following sweeping Republican gains in the 2010 midterm election, Senate Minority Leader Mitch McConnell (R-Ky.) underlined his belief that the election was a referendum against health care reform. "That means that we can — and should — propose and vote on straight repeal, repeatedly," McConnell said of the Patient Protection and Affordable Care Act in a Nov. 4 speech at the Heritage Foundation.

Although McConnell acknowledged that such a feat would be unlikely given President Barack Obama’s veto power and Democrats’ retention of the majority in the Senate, this type of rhetoric is not productive in bringing about meaningful change to health care reform, according to Alan Katz, principal of the Alan Katz Group and past president of both the National Association of Health Underwriters and CAHU.

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