On its front page, the New York Times (7/28, A1, Pear, Kaplan, Subscription Publication) reports that early on Friday morning, the Senate “rejected a new, scaled-down Republican plan to repeal parts of the Affordable Care Act, derailing the Republicans’ seven-year campaign to dismantle President Barack Obama’s signature health care law and dealing a huge political setback to President Trump.” The decisive vote was cast by Sen. John McCain (R-AZ), who joined Sens. Susan Collins (R-ME) and Lisa Murkowski (R-AK) in opposing the measure. For people following this closely, this was no surprise. The question that remains is where do we go from here?