washington u.s. house republicans friday passage measure start process dismantle obamacare despite concern ready replacement potential financial cost repeal democratic president barack obama landmark health insurance law house representatives vote 227-198 instruct committees draft legislation target date jan. 27 would repeal 2010 affordable health care act popularly know obamacare senate approve measure early thursday democrats support initiative nine republicans vote measure vote republicans begin deliver promise end obamacare also campaign promise republican president-elect donald trump program expand health coverage 20 million people plague increase insurance premiums deductibles large insurers leave system resolution pass house senate need presidential approval since part internal congressional budget process obamacare repeal legislation draft chamber need approve presidential signature require time trump swear president urge congress act quickly repeal replace democratic program obamacare enact nearly seven years ago republican objections effort expand coverage give new protections people pre-existing health condition barriers leave without insurance past years house vote 60 time repeal alter obamacare republicans hope repeal would become law long obama president could veto bill house speaker paul ryan republican say obamacare collapse action urgent people health insurance obamacare system say deductibles high feel like get insurance first place step things get bad nothing short rescue mission ryan say democratic leader nancy pelosi rebut republicans claim law failure rate growth healthcare cost country greatly diminish affordable care act say 50 years measure rate growth never slow now choice lawmakers say affordable care versus chaos harvard university economist david cutler warn could trouble u.s. insurance market lawmakers repeal law replacement slow come could create lot havoc say add insurers may get market entirely trump applaud congress efforts friday morning tweet say unaffordable care act soon history president-elect take office jan. 20 press lawmakers week repeal replace essentially simultaneously republican leaders would like finish repeal process within weeks lawmakers think could take far long republicans express concern start repeal agree replace provision complicate far-reaching law nonpartisan committee responsible federal budget estimate repeal obama signature health insurance law entirely would cost roughly 350 billion 10 years republicans say good replacement would give state control healthcare program provide stability health insurance premiums house vote begin repeal obamacare