The Republicans have been fighting tooth and nail against US President Barrack Obama's health care reform plan since the president expressed his desire to bring uninsured Americans under the insurance umbrella a year and a half ago.
Obama signed the bill into law yesterday (See: Obama signs health care reform bill in to law).
Even the opponents of the bill admit that the present health care system has serious problems: costs rising at three times the inflation rate, and millions more fear losing their insurance in a weak economy or because of preexisting conditions.
According to the White House's leading advocate on healthcare, Office of Management and Budget director Peter Orszag, up to 30 per cent of the nation's current healthcare costs, or some $700 billion annually, could be eliminated simply by curtailing unnecessary or costly expenditures.
However, the Republicans were aggressive in their rhetoric opposing the bill.
Arizona sentor John McCain is promising to work to repeal the bill, and says it will be a dominant issue in November mid-term elections.
''We're going to have a very spirited campaign coming up between now and November," McCain told ABC's Good Morning America programme.
Republican National Committee chairman Michael Steele echoed other members of his party in calling it ''Armageddon.''